超声造影检查在睾丸扭转中的诊断价值

The diagnostic value of contrast-enhanced ultrasound in testicular torsion

目的:观察分析超声造影检查在睾丸扭转中的诊断价值。方法:选取2013年1月至2015年9月我院收治的经手术和临床随访证实的睾丸扭转患者共计66例,按照随机数表法分为观察组(n=33)和对照组(n=33),对照组应用常规超声检查,观察组应用超声造影检查。观察比较两组患者诊出睾丸扭转的符合率、不同类型睾丸扭转检出率以及两种检查方法的超声表现情况。结果:观察组患者诊出睾丸扭转符合率(84.85%)明显高于对照组患者诊出睾丸扭转符合率(42.42%),差异具有统计学意义(P<0.05)。同时,观察组睾丸完全扭转检出率(51.52%)和睾丸不完全扭转检查率(33.33%)均高于对照组患者(12.12%、30.3%),数据差异具有统计学意义(P<0.05)。结论:超声造影检查诊断患者睾丸扭转符合率高,同时能够准确判定睾丸缺血受损的程度和范围,为睾丸扭转诊断以及评估提供重要影像学资料。

Objectives： To study the diagnostic value of contrast- enhanced ultrasound in testicular torsion.Methods： 66 cases with testicular torsion from January 2013 to September 2015 in our hospital were researched,and according to the random number table were divided into observation group（ n = 33） and control group（ n =33）. Control group were treated by Color Doppler ultrasonography,while observation group used CEUS. The diagnosed testicular torsion compliance rate,different types of testicular torsion detection rate and the performance of the two methods of ultrasound was compared. Results： The diagnosed testicular torsion compliance rate of observation group（ 84. 85%） was significantly higher than the control group（ 42. 42%）,with statistically significant difference（ P〈0. 05）. At the same time,the testicular torsion complete detection rate（ 51. 52%） and incomplete testicular torsion checking rate（ 33. 33%） in observation group were higher than the control group（ 12. 12%,30. 3%）,with statistically significant difference（ P〈0. 05）. Conclusions： CEUS is consistent with the diagnosis of patients with high testicular torsion rate. At the same time,it can accurately determine the testicles missing blood damage extent and scope,which provides important image data for diagnosis and assessment of testicular torsion.