彩色多普勒超声诊断睾丸附睾疾病价值探讨(附148例报告)

目的:探讨彩色多普勒超声检查诊断睾丸附睾疾病的价值.方法:回顾性分析148例(其中9例经手术及病理证实,139例根据临床诊断及治疗后随访证实)的阴囊、睾丸附睾疾病声像图和彩色血流临床资料.结果:148例中阴囊、睾丸附睾疾病包括:睾丸肿瘤6例(均为精原细胞瘤);睾丸囊肿2例;睾丸炎5例;睾丸损伤5例( 睾丸裂伤3例、睾丸血肿2例);睾丸扭转4例;附睾肿块25例( 附睾囊肿19例、附睾炎5例、附睾结核1例);鞘膜积液44例( 睾丸鞘膜积液31例、精索鞘膜积液13例);隐睾26例;精索静脉曲张31例.结论:高频超声结合彩色多普勒血流显像技术能够明显提高阴囊及睾丸附睾疾病诊断的准确性,对临床早期治疗具有重要的应用价值.

VALUE OF COLOR DOPPLER ULTRASOUND EXAMINATION IN DIAGNOSIS OF TESTIS AND EPIDIDYMIS DISEASES

OBJECTIVE:To determine the value of color Doppler ultrasound examination in diagnosis of testis and epididymis diseases.METHOD:High-frequency Color Doppler ultrasound was performed in 148 cases with scrotum and testis epididymis diseases and the sonograms were analyzed retrospectively.RESULTS:6 of 148 cases were found testis tumor of seminoma;2 testis cyst;5 testis inflammation;5 testis trauma(including 3 laceration of testis,2 testis hematoma;4 testis torsion;25 epididymal masses(including 19 epididymal cyst,5 epididymal inflammatory nodules and 1 epididymal tuberculosis);44 cases were hydrocele of tunica vaginalis(including 31 hydrocele of testis tunica vaginalis,13 funicular hydrocele);26 cases were cryptorchidism;31 cases were varicocele.CONCLUSION:High-frequency combined with color Doppler flow imaging can significamthy raise the diagnosis accuracy in diagnosis of testis diseases,and provide important practical value for early clinical treatment.