彩色多普勒超声对阴囊闭合性损伤的诊断价值

Value of color Doppler ultrasound in diagnosis of closed scrotal and testicular trauma

目的探讨彩色多普勒超声对阴囊闭合性损伤的诊断价值。方法回顾性分析32例阴囊外伤患者的彩色多普勒超声图像资料,检测阴囊壁层次结构和睾丸的形态大小,内部有无肿块;对病变区,测量其大小,观察其形态、边界及内部回声,并用彩色多普勒观察肿块内部及周边血流情况。结果 32例患者根据睾丸、阴囊的声像图表现可分为:睾丸挫伤5例,睾丸血肿10例,睾丸破裂16例,单纯阴囊壁血肿1例(另有10例阴囊壁血肿合并睾丸损伤)。结论高频彩色多普勒超声能准确诊断阴囊、睾丸的损伤,可作为阴囊闭合性损伤的首选检查方法。

Objective To explore the value of color Doppler ultrasound in diagnosis of scrotal and testicular trauma. Methods The color Doppler ultrasonic imaging data of 32 patients with closed scrotal and testicular trauma were analyzed retrospectively. The layers and structure of scrotum wall, shape and size of testicles, internal masses were detected. The size, shape, boundary and internal echo of lesions were observed, then the blood flow was observed by color Doppler ultrasonography. Results According to the uhrasonographic imaging, 32 cases were divided into 5 cases of testicular contusion, 10 cases of testicular hematoma, 16 cases of testicular rupture, 1 case of simple scrotal wall hematoma（ another 10 cases of scrotal wall hematoma complicated with testicular injury ）. Conclusion High frequency color Doppler uhrasonography can accurately diagnose scrotal and testicular trauma, it can be the best way for examining closed scrotal trauma.