CAJ | 학술논문

目的:探讨超声诊断和鉴别诊断急性睾丸疾病的价值.材料和方法:回顾性分析78例急性睾丸疾病患者的睾丸超声表现,并与临床、手术及病理结果进行对照分析. 结果:12例睾丸肿瘤瘤体较大,内部回声杂乱不均匀,病灶区血管走行不规则或呈"树枝状"分布,5例伴有钙化灶;26例睾丸外伤阴囊壁水肿增厚,病变部位回声减弱并与液性暗区混杂分布,彩色血流减少,周围组织彩色血流增强;21例急性睾丸炎患侧睾丸肿大,实质血流分布异常丰富呈五彩镶嵌的"彩球样"; 18例睾丸扭转患侧睾丸血流明显少于健侧或血流消失;1例睾丸结核病侧睾丸回声极不均匀,多种回声混杂分布. 结论:超声能够对各种急性睾丸疾病做出快速、准确的诊断和鉴别诊断.
목적:탐토초성진단화감별진단급성고환질병적개치.재료화방법:회고성분석78례급성고환질병환자적고환초성표현,병여림상、수술급병리결과진행대조분석. 결과:12례고환종류류체교대,내부회성잡란불균균,병조구혈관주행불규칙혹정"수지상"분포,5례반유개화조;26례고환외상음낭벽수종증후,병변부위회성감약병여액성암구혼잡분포,채색혈류감소,주위조직채색혈류증강;21례급성고환염환측고환종대,실질혈류분포이상봉부정오채양감적"채구양"; 18례고환뉴전환측고환혈류명현소우건측혹혈류소실;1례고환결핵병측고환회성겁불균균,다충회성혼잡분포. 결론:초성능구대각충급성고환질병주출쾌속、준학적진단화감별진단.
Purpose:It is the authors' intention to improve the diagnostic and differential diagnostic accuracy of ultrasound for acute tes-tis diseases by analyzing the sonographic features.Materials and Methods:The sonographic features of 78 acute testis diseasess were analyzed.The results were compared with the clinical,surgical and pathological results.Results:78 patients had obviously different sonographic features between different types of acute testis diseases.12 testicular tumors were big mass with uneven internal echoes and often with calcification.The distributions of the vessels in the lesions were irregular or branch-like.26 cases of testicular contusion had scrotal wall edema and thickening,with low echo and liquid collection in the lesions.21 cases of acute orchitis usually intumesced with color ball-shaped rich blood flow signals.18 cases with testicular torsion had blood flow on the affected side decreased or disappeared,lcase of tuberculocele showed extremely uneven and various echoes mixed in testis.Conclusion: A fast and exact diagnosis or differential diagnosis of acute testis diseases can be obtained with ultrasound.