高频彩超在睾丸扭转诊断中的价值

High Frequency Ultrasound in the Diagnosis of Testicular Torsion

目的:探讨高频彩超检查对睾丸扭转诊断的临床应用价值。方法:选择我院2006年8月至2011年8月收治的经高频彩超检查诊断为睾丸扭转的患者432例,将超声诊断结果结合手术资料及临床病理检查结果进行对比分析,对照组为200例健康体检无阴囊疾病者,比较两组高频彩超表现。结果:经高频彩超检查诊断的432例患者经手术和临床病理检查结果证实确诊407例,诊断准确率为94.21%,误诊、漏诊25例。睾丸扭转超声表现为睾丸与附睾头间、附睾头旁结节呈不均匀质高回声,睾丸、附睾增大,睾丸或附睾内血流信号减少,结节内无血流信号。两组睾丸阻力指数、最大收缩期流速、舒张末期最小流速值差异有统计学意义(P<0.05)。结论:高频彩超检查睾丸扭转准确率高,具有直观、方便、快捷、无创等优点,能对睾丸扭转的早期诊断及手术方案的选择提供极其重要的依据,是睾丸扭转诊断的首选方法。

Objective：To investigate the value of high-frequency color Doppler ultrasound examination in the clinical the diagnosis of testicular torsion. Methods： 432 cases of patients with testicular torsion were treated in our hospital from August 2006 to August 2011 by the high-frequency color Doppler ultrasound diagnosis of, ultrasound diagnostic results of combined surgical data and clinical pathological examination results were analyzed, and a control group had 200 cases healthy had no scrotum disease, comparing two groups of high-frequency color Doppler performance. Results：432 patients diagnosed by high-frequency color Doppler ultrasound examination confirmed the diagnosis had 407 cases of surgical and clinical pathology examination, diagnostic accuracy was 94.21%, the misdiagnosis had25 cases. Testicular torsion the ultrasound showed the testis and epididymis head, next to the epididymal head hyperechoic nodules were uneven quality, testis, epididymis decreases blood flow signal in the testis or epididymis increased flow signals within the nodules. The two groups of testicular resistance index, maximum systolic velocity, end-diastolic minimum flow rate value of the difference had statistically significant （P〈0.05）. Conclusion：The high-frequency color Doppler ultrasound examination of testicular torsion had high accuracy, intuitive, convenient, fast, non-invasive, and can provide a vital basis for the early diagnosis of testicular torsion and choice of surgical options, the preferred method of diagnosis of testicular torsion.