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目的总结阴囊急症患者的临床特点及超声图像特征,提高早期诊断及鉴别诊断的准确率。方法首先观察93例阴囊急症患者的临床表现及体征;其中78例患者先用二维超声检测睾丸、附睾的位置、大小、形态及回声强弱,再用彩色多普勒观察睾丸、附睾的血供情况,并与临床、手术及病理结果进行对照。结果93例阴囊急症患者具有相似的临床表现和体征。78例患者经二维超声与彩色多普勒超声检查,28例病侧睾丸血流消失或减少,睾丸内血流阻力指数增高,超声诊断睾丸扭转,与手术病理结果相符。结论阴囊急症患者的临床表现多样性,易误诊。二维超声结合彩色多普勒超声在阴囊急症患者的诊断中具有较强的敏感性和特异性,是目前鉴别睾丸扭转与急性睾丸附睾炎的首选方法。
Objective To summarize the clinical features and characteristics of ultrasound in patients with scrotal emergency and improve the accuracy of early diagnosis and differential diagnosis. Methods The clinical manifestations and signs of 93 patients with scrotal emergency were observed. Among them, 78 patients were examined by two-dimensional ultrasonography for the location, size, morphology and echogenicity of testis and epididymis. For the situation, and with clinical, surgical and pathological results were compared. Results 93 cases of scrotal emergency patients with similar clinical manifestations and signs. 78 cases of patients by two-dimensional ultrasound and color Doppler ultrasound examination, 28 cases of testicular blood loss or decrease of testicular blood flow resistance index increased ultrasound diagnosis of testicular torsion, consistent with the surgical pathology. Conclusions The clinical manifestations of patients with scrotal emergency diversity, easy to misdiagnosis. Two-dimensional ultrasound combined with color Doppler ultrasound in the diagnosis of acute scrotum patients with strong sensitivity and specificity, is the identification of testicular torsion and acute testicular epididymitis preferred method.