鞘膜积液的高频超声诊断及鉴别诊断

High Frequency Ultrasound Diagnosis and Differential Diagnosis of Hydrocele

目的探讨鞘膜积液在超声诊断及鉴别诊断中的声像图特征。方法对101例鞘膜积液声像图回顾分析,分析内容包括鞘膜积液的位置、范围、形态、内部回声、积液与睾丸的关系。结果睾丸鞘膜积液占全部病例的61.39%,精索鞘膜积液积液占20.79%,睾丸精索鞘膜积液占9.90%,交通性鞘膜积液占7.92%。结论鞘膜积液可分为4类,各类型均具有其特征性声像图表现,实时超声是鞘膜积液诊断及鉴别诊断最简易而有效的影像学方法,能为临床提供客观的诊断及鉴别诊断依据,准确性校高。

Objective To explore the hydrocele in ultrasonographic features of ultrasonic diagnosis and differential diagnosis. Methods A retrospective analysis of 101 cases of hydrocele sonogram was made. The analysis included the location, range, shape, internal echo, and the relationship between the effusion and the testis. Results Hydrocele testicular accounted for 61.39% of all cases, spermatic cord hydrocele effusion for 20.79%, testicular spermatic cord hydrocele accounted for 9.90%, Traffic sex hydrocele accounted for 7.92%. Conclusion The hydrocele of the tunica vaginalis can be divided into 4 types, each of which has its characteristic image. Real time ultrasound is the most simple and effective imaging method for the diagnosis and differential diagnosis of hydrocele. It can provide an objective diagnosis and differential diagnosis basis for the clinic. The accuracy is higher.