中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
4期
573-574
,共2页
高频彩超%诊断%睾丸扭转
高頻綵超%診斷%睪汍扭轉
고빈채초%진단%고환뉴전
High frequency ultrasound%Diagnosis%Testicular torsion
目的：探讨高频彩超检查对睾丸扭转诊断的临床应用价值。方法：选择我院2006年8月至2011年8月收治的经高频彩超检查诊断为睾丸扭转的患者432例，将超声诊断结果结合手术资料及临床病理检查结果进行对比分析，对照组为200例健康体检无阴囊疾病者，比较两组高频彩超表现。结果：经高频彩超检查诊断的432例患者经手术和临床病理检查结果证实确诊407例，诊断准确率为94.21%，误诊、漏诊25例。睾丸扭转超声表现为睾丸与附睾头间、附睾头旁结节呈不均匀质高回声，睾丸、附睾增大，睾丸或附睾内血流信号减少，结节内无血流信号。两组睾丸阻力指数、最大收缩期流速、舒张末期最小流速值差异有统计学意义(P<0.05)。结论：高频彩超检查睾丸扭转准确率高，具有直观、方便、快捷、无创等优点，能对睾丸扭转的早期诊断及手术方案的选择提供极其重要的依据，是睾丸扭转诊断的首选方法。
目的：探討高頻綵超檢查對睪汍扭轉診斷的臨床應用價值。方法：選擇我院2006年8月至2011年8月收治的經高頻綵超檢查診斷為睪汍扭轉的患者432例，將超聲診斷結果結閤手術資料及臨床病理檢查結果進行對比分析，對照組為200例健康體檢無陰囊疾病者，比較兩組高頻綵超錶現。結果：經高頻綵超檢查診斷的432例患者經手術和臨床病理檢查結果證實確診407例，診斷準確率為94.21%，誤診、漏診25例。睪汍扭轉超聲錶現為睪汍與附睪頭間、附睪頭徬結節呈不均勻質高迴聲，睪汍、附睪增大，睪汍或附睪內血流信號減少，結節內無血流信號。兩組睪汍阻力指數、最大收縮期流速、舒張末期最小流速值差異有統計學意義(P<0.05)。結論：高頻綵超檢查睪汍扭轉準確率高，具有直觀、方便、快捷、無創等優點，能對睪汍扭轉的早期診斷及手術方案的選擇提供極其重要的依據，是睪汍扭轉診斷的首選方法。
목적：탐토고빈채초검사대고환뉴전진단적림상응용개치。방법：선택아원2006년8월지2011년8월수치적경고빈채초검사진단위고환뉴전적환자432례，장초성진단결과결합수술자료급림상병리검사결과진행대비분석，대조조위200례건강체검무음낭질병자，비교량조고빈채초표현。결과：경고빈채초검사진단적432례환자경수술화림상병리검사결과증실학진407례，진단준학솔위94.21%，오진、루진25례。고환뉴전초성표현위고환여부고두간、부고두방결절정불균균질고회성，고환、부고증대，고환혹부고내혈류신호감소，결절내무혈류신호。량조고환조력지수、최대수축기류속、서장말기최소류속치차이유통계학의의(P<0.05)。결론：고빈채초검사고환뉴전준학솔고，구유직관、방편、쾌첩、무창등우점，능대고환뉴전적조기진단급수술방안적선택제공겁기중요적의거，시고환뉴전진단적수선방법。
Objective:To investigate the value of high-frequency color Doppler ultrasound examination in the clinical the diagnosis of testicular torsion. Methods: 432 cases of patients with testicular torsion were treated in our hospital from August 2006 to August 2011 by the high-frequency color Doppler ultrasound diagnosis of, ultrasound diagnostic results of combined surgical data and clinical pathological examination results were analyzed, and a control group had 200 cases healthy had no scrotum disease, comparing two groups of high-frequency color Doppler performance. Results:432 patients diagnosed by high-frequency color Doppler ultrasound examination confirmed the diagnosis had 407 cases of surgical and clinical pathology examination, diagnostic accuracy was 94.21%, the misdiagnosis had25 cases. Testicular torsion the ultrasound showed the testis and epididymis head, next to the epididymal head hyperechoic nodules were uneven quality, testis, epididymis decreases blood flow signal in the testis or epididymis increased flow signals within the nodules. The two groups of testicular resistance index, maximum systolic velocity, end-diastolic minimum flow rate value of the difference had statistically significant (P<0.05). Conclusion:The high-frequency color Doppler ultrasound examination of testicular torsion had high accuracy, intuitive, convenient, fast, non-invasive, and can provide a vital basis for the early diagnosis of testicular torsion and choice of surgical options, the preferred method of diagnosis of testicular torsion.
