小婴儿睾丸扭转临床特点及超声诊断价值

目的:与目的:与新生儿睾丸扭转相比较,1岁以内小婴儿睾丸扭转的临床特点、超声诊断价值。方法:回顾分析本院1994-2013年40例新生儿及小婴儿(≤1y)睾丸扭转的临床特点及超声声像图特征。结果:小婴儿睾丸扭转表现为烦躁不安、阴囊患侧红肿以及质软包块;新生儿主要临床表现为阴囊患侧内无痛、质硬肿块。小婴儿及新生儿睾丸扭转超声均主要表现为大小、形态、实质回声以及血流的异常,鞘膜腔积液以及阴囊患侧壁的肿胀。结论:小婴儿睾丸扭转以鞘内扭转为主,新生儿睾丸扭转以鞘外扭转为主,超声诊断两者睾丸扭转的敏感性和特异性较高,各有特征性。小婴儿睾丸扭转的切除率低于新生儿,且睾丸获救率较高。

Objective To compare the characteristics and High Frequency Colour Doppler ultrasound Diagnosis of testicular torsion in infants, aged 1 month to 1 year, with neonates.Method We retrospectively analysed 40 cases of testicular torsion(TT) aged younger than 1 year,include its the patients' clinical characteristics, the imaging features of high-frequency colour Doppler ultrasound(HCDU),and treatment outcomes between 1994 and 2013.Results Baby testicular torsion performance as irritability, scrotum having side are red and soft block; neonatal main clinical manifestations is scrotal suffering from side in painless, hard mass. Infants and neonatal testicular torsional ultrasonic showed size, morphology, parenchyma echo and blood flow abnormalities, hydrocele and scrotal suffering from swelling of the side wall 。Conciusion The testicular torsion was the dominant in the small baby and the torsion of the newborn was the main. The sensitivity and specificity of the diagnosis of testicular torsion were higher than that of the newborn.