精索形态观察在睾丸扭转早期诊治中的意义

Value of spermatic cord sonograhpy in the early diagnosis and treatment of testicular torsion

目的:提高睾丸扭转早期的诊断和治疗水平。方法:回顾性分析49例睾丸扭转的临床资料及睾丸内血流声像图和精索超声特征。结果:49例睾丸扭转患者,彩色多普勒血流显像出现睾丸血流改变42例,其中血流增加3例,睾丸血流无明显改变7例;二维超声检查发现精索形态异常47例。手术复位固定21例,睾丸存活12例。结论:彩色多普勒超声扫描精索形态与睾丸血流变化对睾丸扭转的早期诊断有重要价值,尽早手术探查有助于挽救存活睾丸。

Objective： To improve the early diagnosis and therapeutic outcomes of testicular torsion.Methods： We retrospectively reviewed the clinical data of 49 cases of testicular torsion along with the results of their intratesticular color Doppler flow imaging（CDFI） and spermatic cord sonography.Results： Of the 49 cases,42 showed abnormal intratesticular blood flow,including 3 cases of increased blood flow,while the other 7 presented no obvious abnormality.Morphological abnormality of the spermatic cord was found in 47 cases.Twenty-eight cases underwent testis removal,and the other 21 received detorsion and orchidopexy,in which 12 testes were preserved with normal size and blood flow.Conclusion： Spermatic cord sonography and intratesticular CDFI play an important role in the early diagnosis of testicular torsion.And early surgical exploration contributes to the preservation of the testis.