急性睾丸闭合性损伤的MRI诊断价值

Evaluation of magnetic resonance imaging for the diagnosis of acute blunt testicular trauma

目的探讨MRI对急性睾丸闭合性损伤的诊断价值。方法回顾性分析12例临床诊断为睾丸闭合性损伤患者的伤后72h内MRI表现。结果睾丸实质出血7例,其中2例伴有白膜下血肿;睾丸破裂5例,均伴有不同程度鞘膜囊积血及阴囊肿大。结论 MRI能清楚显示各种类型的睾丸闭合性损伤,明确睾丸损伤程度,有助于临床治疗方案的选择。

Objective To investigate the value of MRI in the diagnosis of acute blunt testicular trauma.Methods 12 cases with clinical diagnosis as acute blunt testicular trauma,were selected to receive MRI examination within 72h after injury.The imaging data were retrospectively analyzed.Results Testis parenchymal hemorrhage in 7 cases combined with subalbugineous hematoma in 2 cases,rupture of testis in 5 cases which showed disappear of normal structure,rupture of albuginea and protruding of the testis tissue.Conclusion MRI scan could precisely demonstrate all types of blunt testicular trauma and offer reliable evidence for clinical diagnosis.