摘要
目的分析彩色多普勒超声在小儿阴囊急症诊断中的应用价值。方法于2019年1月—2019年12月选取院内收治的100例以阴囊急症就诊的患儿作为研究对象,使用彩色多普勒超声对所有患儿进行诊断,分析患儿的超声影像学特点,并对彩色多普勒超声的诊断结果与手术和病理结果进行对比。结果急性睾丸扭转患儿的影像学形态以睾丸肿胀(90.63%)、阴囊壁水肿(75.00%)、鞘膜积液(68.75%)、睾丸实质回声异常(59.38%)和附睾增大(53.13%)为主,其中睾丸肿胀和睾丸实质回声异常的患儿例数明显高于其他疾病类型(P<0.05);急性睾丸附件扭转患儿的影像学形态以睾丸外结节(96.30%)、附睾增大(74.07%%)、阴囊壁水肿(70.37%)和鞘膜积液(51.85%)为主,其中睾丸外结节的患儿例数高于其他疾病类型(P<0.05);急性附睾炎患儿的影像学形态以阴囊壁水肿(82.61%)、附睾增大(73.91%)和鞘膜积液(52.17%)为主;急性睾丸炎患儿的影像学形态也以阴囊壁水肿(83.33%)、附睾增大(83.33%)、和鞘膜积液(55.56%)为主,急性附睾炎和急性睾丸炎患儿的影像学形态相比差异无统计学意义(P>0.05);急性睾丸扭转患儿的睾丸内血流分布主要为减少或消失和精索扭转,与其他疾病类型患儿相比差异有统计学意义(P<0.05);急性睾丸附件扭转患儿的睾丸内血流分布主要为正常,与其他疾病类型患儿相比差异有统计学意义(P<0.05);急性附睾炎和睾丸炎患儿的睾丸内血流分布主要为增加,与其他疾病类型患儿相比差异有统计学意义(P<0.05),急性附睾炎和急性睾丸炎患儿的睾丸内血流分布情况相比差异无统计学意义(P>0.05);彩色多普勒超声在阴囊急症中的总诊断率为97%,与手术病理结果相比无差异(P>0.05),在急性睾丸扭转中的诊断符合率为96.88%,在急性睾丸附件扭转中的诊断率为96.30%,在急性附睾炎中的诊断符合率为95.65%,在急性睾丸炎中的诊断率为100.00
Objective To analyze the value of color Doppler ultrasound in the diagnosis of scrotal emergency in children.Methods From January 2019 to December 2019,100 children admitted to the hospital with scrotal emergency were selected as the research objects.All patients were diagnosed by color Doppler ultrasound and the characteristics of ultrasound imaging were analyzed.The diagnostic results of color Doppler ultrasound were compared with surgical and pathological results.Results The imaging morphology of children with acute testicular torsion was testicular swelling(90.63%),scrotal wall edema(75.00%),hydrocele(68.75%),abnormal testicular parenchymal echo(59.38%),and enlarged epididymis(53.13%)mainly.The numbers of children with testicular swelling and abnormal testicular parenchymal echo were higher than other disease types(P<0.05);the imaging morphology of children with acute testicular attachment reversal was extratesticular nodules(96.30%)and enlarged epididymis(74.07%%),scrotal wall edema(70.37%),and hydrocele(51.85%)were predominant,and the numbers of children with extra testicular nodules were higher than other disease types(P<0.05);acute epididymis morphology of scrotal wall edema(82.61%),enlarged epididymis(73.91%),and hydrocele(52.17%)in children with inflammation are mainly;the morphology of scrotal wall edema in children with acute orchitis(83.33%)also,epididymis enlargement(83.33%),and hydrocele(55.56%)were the main factors.There was no significant difference in imaging morphology between children with acute epididymitis and acute orchitis(P>0.05);Testicular blood flow distribution in children with acute testicular torsion was mainly reduced or disappeared and spermatic cord twisted,the difference was statistically significant compared with children with other disease types(P<0.05);blood distribution in the testis of children with acute testicular accessory torsion was mainly normal,compared with children with other disease types.The difference was statistically significant(P<0.05);the distribution of bloo
作者
张遇乐
王娜
ZHANG Yule;WANG Na(Department of Ultrasound,Guangzhou Women and Children s Medical Center,Guangzhou 510120,China)
出处
《广州医药》
2020年第4期36-42,共7页
Guangzhou Medical Journal
关键词
彩色多普勒超声
小儿阴囊急症
急性睾丸扭转
急性附睾炎
Color Doppler ultrasound
Scrotal emergency in children
Acute testicular torsion
Acute epididymitis
