彩色多普勒超声在精索扭转诊断和鉴别诊断中的价值

Evaluation of Color Doppler Flow Imaging in the Diagnosis and Differential Diagnosis of Spermatic Cord Torsion

目的 :应用彩色多普勒超声鉴别精索扭转和急性睾丸炎。 方法 :回顾性分析 13例急性睾丸疼痛病人的彩色多普勒血流显像 (CDFI)表现和治疗情况。 结果 :8例显示睾丸内血流信号稀疏或消失 ,诊断为精索扭转 ,其中 1例手法复位成功 ,7例手术探查并得以证实。其余 5例显示患侧睾丸血流信号丰富 ,诊断为急性睾丸炎或睾丸附睾炎 ,经抗生素治疗后症状好转 ,超声复查显示血流减少。 结论 :CDFI在精索扭转诊断和鉴别诊断中具有重要意义 。

Objective: To distinguish spermatic cord torsion from acute orchitis by color Doppler flow imaging (CDFI). Methods: Thirteen patients with acute orchialgia were examined by CDFI. The clinical data of diagnosis and treatment were reviewed and analyzed. Results: The findings of CDFI showed lower or even no blood flow in the testes in 8 cases, which were diagnosed as spermatic cord torsion. Among them, 1 received manual detorsion and 7 were proved by operations. The other 5 showed abundant blood flow signal in the testes and were diagnosed as acute orchitis or epididymo orchitis. After the use of antibiotics, their symptoms were relieved and the blood flow of the testes reduced upon reexamination. Conclusions: CDFI plays an important role in the diagnosis and differential diagnosis of spermatic cord torsion, and could be regarded as a detecting method of first choice for patients of acute orchialgia.