彩色多普勒超声在小儿阴囊急症诊断中的价值

The value of color doppler sonography in the diagnosis of acute scrotum in children

目的 探讨彩色多普勒超声（CDFI）在小儿阴囊急症诊断中的应用价值。方法 应用彩色多普勒超声观察47例病变的形态、结构、内部回声及血供情况，并与临床、手术及病理结果进行对照分析。结果 附睾炎12例，急性睾丸炎17例，睾丸附件扭转11例，睾丸扭转5例，睾丸挫裂伤2例。结论 彩色多普勒超声可同时提供阴囊的形态学结构和血供信息，可准确区分睾丸扭转、炎症，可评价阴囊外伤的程度及预后，为临床诊断及治疗提供可靠的依据，具有无创性、操作简便、可多次重复的优点。具有较好的临床应用价值。

Objective To discuss the value of color doppler sonography in the diagnosis of acute scrotum in children. Methods The shape, structure, internal echo and blood supply of lesions were observed by color doppler ultrasound in 47 cases and were compared with the results of clinical, surgery, and pathology. Results Twelve cases were epididymitis, 17 cases were acute testicular inflammation, 11 cases were testicular annex reverse, 5 cases were testicular torsion, 2 cases were testicular contusion. Conclusion Color doppler Ultrasound can provide the morphological structure of scrotum and the blood supply of information simultaneous. Also can be accurately distinguish testicular torsion with inflammation and can evaluate the extent of the scrotum and the prognosis and treatment. It provides a reliable evidences for clinical diagnosis. Color doppler ultra- sound is no invasive, easy to operate, can be repeated some times. Therefore,it has better clinical value.