睾丸损伤的超声分型及临床应用评价

Blunt testicular trauma: evaluation of sonographic appearances and its clinical application

目的 探讨睾丸损伤的超声分型及其临床应用价值。方法 分析 15例阴囊闭合性损伤的高频彩色多普勒超声表现和手术所见。结果 15例阴囊外伤中 ,睾丸完全破裂 2例 ,部分破裂 4例 ,挫伤 4例 ,单纯血肿 3例 ,正常 2例。睾丸损伤的超声诊断符合率为 93 .3 % (14 /15 )。睾丸损伤的超声表现可分为破碎型、破裂型、钝挫型和包膜下血肿型。结论 超声检查不但能够对睾丸损伤进行分型 ,而且有助于临床治疗方案的选择。

Objective To evaluate the sonographic appearances of testicular trauma and its clinical application.Methods The appearances of high frequency color Doppler ultrasound were analysed in 15 patients with the blunt scrotal trauma.Results Of the 15 patients, testicular rupture was present in 6 cases, blunt injury in 4 cases ,subcapsular hematoma in 3 cases, and normal testis in 2 cases. Nine patients undergwent surgery. The accuracy rate of ultrasound diagnosis of blunt scrotal trauma was 93.3% (14/15). The sonographic appearances of testicular trauma may be divided into four types:shatter type, rupture type, blunt injury type and subcapsular hematoma type.Conclusions The sonographic typing of testicular trauma is conduce to choice of treatment manner. Testicular crush and rupture should be managed by orchiectomy or partial orchiectomy. Taking which treatment method to testicular blunt injury and subcapsular hematoma is dependent on the extent of testicular trauma. The lesions in less extent may be healed with the conservative treatment.