ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2015, Vol. 7 ›› Issue (6): 569-572.doi: 10.3969/j.issn.1674-3865.2015.06.012

• 临床研究 • 上一篇    下一篇

彩色多普勒对小儿急性睾丸及附件扭转的影像学诊断分析

刘丽君   

  1. 115000 辽宁 营口,营口市中心医院超声科
  • 出版日期:2015-12-25 发布日期:2018-11-19
  • 作者简介:刘丽君(1969-),女,副主任医师。研究方向：浅表器官影像诊断,E-mail: 3223794131@qq.com

Imaging diagnosis analysis of infantile acute testicular and appendage torsion with color Doppler

LIU Lijun   

  1. Yingkou Central Hospital, Yingkou 115000,China.
  • Online:2015-12-25 Published:2018-11-19

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摘要：
目的: 总结高频探头彩色多普勒在诊断小儿急性睾丸扭转和睾丸附件扭转中的价值。
方法: 观察26例睾丸扭转、7例睾丸附件扭转患儿的二维声像图特点及RI、频谱的变化,并与手术对照,分析二者诊断及鉴别诊断的要点。
结果: 睾丸扭转的声像图特征为睾丸内部血流明显减少或消失,并见睾丸上极或睾丸上极上方的条索样团状增强回声,其内无彩色血流信号与精索扭转的角度有关,RI及频谱形态均有改变。睾丸附件扭转声像图特征为睾丸上及与附睾头之间可见不均质团状高团或不均质低回声团,呈圆形或类圆形,并见患侧附睾头肿大或附睾,睾丸增大伴其内彩色血流信号增多。
结论: 彩色多普勒对小儿急性睾丸扭转和睾丸附件扭转的早期诊断率极高,尤其通过对RI及频谱形态的分析,对不完全睾丸扭转的早期治疗方案起指导作用。

关键词: 睾丸扭转, 彩色多普勒, 超声影像, 儿童

Abstract:
Objective：To summarize the value of color Doppler in diagnosis of acute testicular torsion and testicular torsion in children.
Methods：Observe the two-dimensional ultrasound imaging and RI and spectrum changes of 26 cases of testicular torsion and 7 cases of appendage torsion, and compare with the operation;analyzed the diagnosis and differential diagnosis features.
Results：The imaging features of testicular forsion were obvicus decrease or disappearance of blood flow and enhanced echo of cordlike mass in the upper testicle. There was RI and spectrum change.The imaging features of appendage torsion were low echo of unsmooth mass, appearing round or round-like, and there were enlargement of testicle and increased colored blood flow signals.
Conclusion：Color Doppler has a high diagnostic rate of early diagnosis of acute testicular torsion and torsion of testicular appendages, which can guide the early treatment for incomplete testicular torsion.

Key words: Testicular torsion, Color Doppler, Ultrasonography, Children