彩色多普勒超声对睾丸附件扭转的诊断价值

The value of color Doppler ultrasound in diagnosis of intrascrotal appendage torsion

目的探讨彩色多普勒超声对睾丸附件扭转的诊断价值。方法对16例睾丸附件扭转患者彩色多普勒超声检查结果进行分析。16例中14例经非手术治疗后痊愈,2例经手术证实。结果二维超声显示睾丸上极与附睾头间及两者周缘区的低回声或高回声结节;彩色血流显示肿大的附件无血流信号,而睾丸、附睾血流信号增多,并伴有阴囊壁增厚和少量鞘膜积液。结论彩色多普勒超声是诊断睾丸附件扭转有价值的方法。

Objective To investigate the value of color Doppler ultrasound in diagnosis of intrascrotal appendage torsion. Methods Sixteen boys with intrascrotal appendage torsion received examination of color Doppler ultrasound. Fourteen boys were cured by conservative treatment,two boys received an operation to remove the torsed appendage. Results The torsed appendage which is located between upperpole of testicle and epididymal head was hypoechoic or hyperechoic. No vascular singal in the torsed appendage was observed on color Doppler sonography. The blood flow in the structures surrouding the torsed appengage was increased. It was generally accompanied by a hydrocele an scrotal wall thichening. Conclusion Color Doppler ultrasound is a valuable method in diagnosis of intrascrotal appendage torsion.