高频超声显像诊断小儿常见阴囊睾丸疾病

Common infantile scrotum or testicle disease diagnosed by high frequency ultrasonoscopy

目的应用高频超声诊断和鉴别小儿常见阴囊睾丸部肿块,探讨其声像特征和临床应用价值。方法应用高频线阵探头,对46例小儿常见阴囊睾丸部肿块和异常体征处进行多切面、双侧对比扫查。注意观察阴囊、睾丸、附睾、精索结构,其所在部位、大小、形态及内部回声,必要时改变体位及充盈膀胱,扫查腹股沟和膀胱两侧。结果超声诊断小儿阴囊睾丸疾病45例,与临床表现及手术结果均相符合。1例单侧隐睾未能显示。结论高频超声诊断和鉴别诊断小儿常见阴囊睾丸疾病快捷、准确,为采取及时必要的手术治疗,提供了可靠依据。

Objective To diagnose and distinguish the swell in the infantile scrotum or testicle by the high frequency ultrasonoscopy so as to find the acoustic imaging characters and clinical application value.Methods With the high frequency linear-array probe used,the multi-section and two-side contrast scanning checks were conducted on 46 cases of the infantile scrotum or testicle swell and position with abnormal physical signs.The structures of scrotum,testicle,epididymis and spermatic cord as well as the positions,sizes,forms and interior echoes were observed.When it was necessary,the position should be changed,bladder filled up and the groin and two sides of bladder scanned.Results A total of 45 cases of infantile scrotum or testicle disease were diagnosed by ultrasound,which accorded with the clinical behavior and operation result while 1 case of one-side cryptorchid was not found.Conclusion It is quick and accurate to diagnose the infantile scrotum or testicle disease by high frequency ultrasonoscopy.