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目的:探讨彩色多普勒超声诊断阴囊急症的临床价值。方法:利用东芝DP-6600超声诊断仪对79例阴囊急症进行双侧对比及连续多次扫查,对其灰阶声像图、彩色多普勒及脉冲多普勒特征进行总结分析,并与手术及病理结果对照。结果:79例阴囊急症中,超声诊断急性睾丸附睾炎29例,睾丸扭转22例,睾丸外伤15例,腹股沟斜疝嵌顿13例。40例进行了手术治疗,所有手术及病理诊断与超声诊断相符。其中3例睾丸扭转因确诊太晚,睾丸缺血坏死被切除。37例非手术治疗后通过超声随访诊断得到证实。2例早期睾丸扭转超声动态观察,扭转自动复位,避免了手术治疗。结论:彩色多普勒超声对阴囊急症的急诊诊断、治疗方法选择及疗效评估均有一定的临床价值。
Objective: To investigate the clinical value of color Doppler ultrasound in diagnosis of scrotal emergency. Methods: 79 cases of scrotal emergency were examined by bilateral contrast and continuous multi-scan with the Toshiba DP-6600 ultrasonic diagnostic apparatus, and their gray-scale sonography, color Doppler and pulse Doppler characteristics were summarized and analyzed. Surgical and pathological results of the control. Results: 79 cases of scrotal emergency, ultrasound diagnosis of acute testicular epididymitis in 29 cases, testicular torsion in 22 cases, testicular trauma in 15 cases, inguinal hernia incarcerated in 13 cases. Forty patients underwent surgical treatment. All surgical and pathological findings were in accordance with ultrasound. Three cases of testicular torsion due to diagnosis too late, testicular necrosis was removed. 37 cases of non-surgical treatment confirmed by ultrasound follow-up diagnosis. Two cases of early testicular torsion ultrasound dynamic observation, reverse automatic reset, to avoid the surgical treatment. Conclusion: Color Doppler ultrasound in emergency diagnosis of scrotum, treatment options and efficacy evaluation have some clinical value.