摘要
目的探讨高频超声在诊断睾丸附件扭转(TTA)中的应用价值。方法回顾分析42例经临床确诊为TTA患者的声像图特征。结果高频超声诊断TTA的诊断符合率为88.1%(37/42);4例误诊为睾丸附睾炎,1例误诊为腹股沟疝。42例TTA中,11例合并睾丸微石症,18例患侧睾丸附睾稍增大,血流稍增多(其中4例误诊为单纯的睾丸附睾炎),25例患侧睾丸鞘膜腔内有少量积液。超声检查示附睾头旁见不均质高回声结节,彩色多普勒示结节内无血流信号。结论 TTA有特征性声像图表现,高频超声对其的诊断符合率高,可作为首选方法。
Objective To explore the diagnostic value of high -frequency ultrasonography in torsion of testicular appendage （TTA）. Methods The sonographic characteristics of 42 patients with TTA confirmed by clinic and performed by high-frequency ultrasonography were analysed retrospectively. Results The accuracy rate of TTA diagnosed by high-frequency ultrasonography was 88.1%（37/42）. Four cases were misdiagnosed as epididymo -orchitis and 1 case was misdiagnosed as inguinal hernia. In 42 cases,11 cases were with testicular microlithiasis,18 cases of ipsilateral testis and epididymis swelled slightly and blood flow increased slightly, in which 4 cases were msdiagnosed as simple epididymo-orchitis. Twenty-five cases had a small amount of ipsilateral hydrocele. Ultrasonography showed heterogeneity hyperechoic nodules next to the caput,color Doppler ultrasound showed that there were no blood flow signals in these nodules. Conclusion TTA has characteristic sonographic feature. High-frequency ultrasonography has a high accuracy in the diagnosis of TTA,and is the first choice method for detecting TTA.
出处
《临床超声医学杂志》
2013年第7期500-502,共3页
Journal of Clinical Ultrasound in Medicine
关键词
睾丸附件扭转
超声检查
Torsion of testicular appendage
Ultrasonography
