睾丸扭转复位后超声造影观察

Research on contrast-enhanced ultrasound in testicular torsion after reduction

目的比较睾丸扭转复位后的常规超声与超声造影声像特点。方法 7例单侧睾丸扭转患者行手术复位6例,手法复位1例,复位后行常规超声及超声造影检查。结果复位后患侧睾丸常规超声声像与健侧睾丸比较无明显特异改变;超声造影显示,5例造影剂充盈良好,睾丸周边可见环形增强,造影剂均较均匀进入睾丸实质,2例出现造影剂局部或整体不充盈。结论超声造影在显示睾丸扭转复位后血流的恢复及恢复程度上较常规超声敏感,有助于判断复位术后睾丸的存活能力。

Objective To compare the routine ultrasound and contrast-enhanced ultrasound in testicular torsion after reduction. Methods Seven patients with testicular torsion received routine ultrasound and contrast-enhanced ultrasound after surgical reduction in 6 and manual reduction in 1. Results The routine ultrasound showed no obvious changes in torsive testicle after reduction compared with the normal testicle. Contrast-enhanced ultrasound showed well filling of contrast in 5 cases with ring-shaped enhancement around the testicle, and the contrast entered equably into parenchyma of testis. The other 2 cases were showed partial or completely unfilling of contrast. Conclusions Contrast-enhanced ultrasound is more sensitive in showing the blood flow and the recovery degree after reduction of testicular torsion than the routine ultrasound, and could help the judgment of testicular survival.