| 术前超声预判儿童睾丸扭转后不同转归 |
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| 引用本文： | 项霞青,许云峰,赵新美,吴春燕,程刚,陈旭,王岳. 术前超声预判儿童睾丸扭转后不同转归[J]. 中国医学影像技术, 2015, 31(8): 1259-1262 |
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| 作者姓名： | 项霞青 许云峰 赵新美 吴春燕 程刚 陈旭 王岳 |
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| 作者单位： | 南京医科大学附属无锡人民医院儿童医院超声科, 江苏 无锡 214023;,上海交通大学附属上海市儿童医院超声科, 上海 200040,南京医科大学附属无锡人民医院儿童医院超声科, 江苏 无锡 214023;,南京医科大学附属无锡人民医院儿童医院超声科, 江苏 无锡 214023;,南京医科大学附属无锡人民医院儿童医院超声科, 江苏 无锡 214023;,南京医科大学附属无锡人民医院儿童医院超声科, 江苏 无锡 214023;,南京医科大学附属无锡人民医院儿童医院超声科, 江苏 无锡 214023; |
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| 摘 要： | 目的 探讨术前超声预判睾丸扭转患儿转归的应用价值。方法 回顾性分析45例儿童睾丸扭转的临床及超声资料。按不同转归分为存活组(手术复位后随访睾丸存活)及失睾组(因缺血、坏死接受患侧睾丸切除术或手术复位后随访患侧睾丸萎缩),对比观察两组声像图特征,包括患侧睾丸大小改变、轴向改变、内部回声、血流改变及鞘膜积液。并进行统计学分析,选取组间差异有统计学意义的声像图特征,建立Logistic 回归模型预判患侧睾丸转归。结果 45例患儿均为单侧扭转,其中左侧27例,右侧18例;最终纳入存活组11例,失睾组34例。失睾组34例中,32例患侧睾丸回声不均匀,2例回声尚均匀;33例患侧睾丸实质内未探及血流信号,1例探及少量血流信号;6例患侧睾丸周边可见"环岛"征。存活组11例中,9例睾丸实质内回声均匀,2例回声不均匀;9例患侧睾丸实质内血流较健侧减少,2例未探及血流信号。两组间内部回声及血流改变差异有统计学意义(P均<0.05),患侧睾丸大小改变、轴向改变及鞘膜积液差异均无统计学意义(P均≥0.05)。Logistic 回归模型结果显示,术前超声的阳性(失睾)预测值为97.10%,阴性(存活)预测值为81.80%,预判睾丸扭转患儿转归的准确率为93.30%。结论 术前超声对预判儿童睾丸扭转的转归具有较高准确率,声像图中患侧睾丸内部回声及血流改变可作为预判指标。
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| 关 键 词： | 超声检查 儿童 精索扭转 术前预判 |
| 收稿时间： | 2014-12-17 |
| 修稿时间： | 2015-03-19 |
Preoperative prediction of different outcomes after pediatric testicular torsion by ultrasound |
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| XIANG Xia-qing,XU Yun-feng,ZHAO Xin-mei,WU Chun-yan,CHENG Gang,CHEN Xun and WANG Yue. Preoperative prediction of different outcomes after pediatric testicular torsion by ultrasound[J]. Chinese Journal of Medical Imaging Technology, 2015, 31(8): 1259-1262 |
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| Authors: | XIANG Xia-qing XU Yun-feng ZHAO Xin-mei WU Chun-yan CHENG Gang CHEN Xun WANG Yue |
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| Affiliation: | Department of Medical Ultrasound, Wuxi People's and Children's Hospital of Nanjing Medical College, Wuxi 214023, China;,Department of Ultrasonography, Children's Hospital of Shanghai Jiao Tong University, Shanghai 200040, China,Department of Medical Ultrasound, Wuxi People's and Children's Hospital of Nanjing Medical College, Wuxi 214023, China;,Department of Medical Ultrasound, Wuxi People's and Children's Hospital of Nanjing Medical College, Wuxi 214023, China;,Department of Medical Ultrasound, Wuxi People's and Children's Hospital of Nanjing Medical College, Wuxi 214023, China;,Department of Medical Ultrasound, Wuxi People's and Children's Hospital of Nanjing Medical College, Wuxi 214023, China; and Department of Medical Ultrasound, Wuxi People's and Children's Hospital of Nanjing Medical College, Wuxi 214023, China; |
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| Abstract: | |
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| Keywords: | Ultrasonography Child Spermatic cord torsion Preoperative prediction |
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