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目的探讨彩色多普勒超声在睾丸扭转诊断及治疗中的应用价值。方法选取阴囊急症患者65例,观察二维声像图及彩色多普勒表现,并与手术结果对照或保守治疗后复查。结果睾丸扭转患者42例,睾丸附件扭转7例,睾丸炎15例,疝气合并睾丸坏死1例。睾丸扭转的声像图表现包括:睾丸位置上提、横位或斜位,睾丸形态饱满39例(92.9%),睾丸回声减低8例(19.0%)、不均22例(52.4%),睾丸上方或后上方出现漩涡状包块39例(92.9%),睾丸内血流消失39例(92.9%),血流正常2例,血流减少1例。成功复位后超声表现为:漩涡状包块消失,睾丸血流恢复。结论彩色多普勒超声能可靠诊断睾丸扭转,并能为手法复位或手术复位提供非常有用的信息。
Objective To explore the value of color Doppler ultrasound in the diagnosis and treatment of testicular torsion. Methods 65 patients with acute scrotum were selected to observe two-dimensional sonography and color Doppler manifestations, and compared with the surgical results or after conservative treatment review. Results 42 cases of testicular torsion, testicular torsion in 7 cases, 15 cases of orchitis, hernia combined testicular necrosis in 1 case. Testicular torsion of the sonogram include: testicular position lift, transverse or oblique position, testicular fullness in 39 cases (92.9%), testicular echo reduction in 8 cases (19.0%), uneven in 22 cases (52.4% There were 39 cases (92.9%) of swollen mass in the top or the back, 39 cases (92.9%) disappeared in testis, 2 cases of normal blood flow and 1 case of decrease of blood flow. After successful reduction of ultrasound showed: swollen mass disappeared, testicular blood flow recovered. Conclusion Color Doppler ultrasound can reliably diagnose testicular torsion and provide very useful information for manipulation or surgical reduction.