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目的探讨超声造影在附睾结核诊断中的应用价值。方法对43例经病理证实的附睾结核常规超声及超声造影表现进行回顾性分析及总结。结果附睾结核以尾部多见,主要表现为附睾弥漫性不均质表现或局灶性增大伴不均质回声结节,根据超声造影表现将43例附睾结核分为四型:不均匀增强型21例(21/43),环状增强型17例(17/43),均匀增强型3例(3/43),无增强型2例(2/43)。结论超声造影能显示不同病理时期附睾结核的血供特点,在附睾结核的诊断中具有一定应用价值。
Objective To investigate the value of contrast-enhanced ultrasound in the diagnosis of epididymal tuberculosis. Methods 43 cases of pathologically confirmed epididymal tuberculosis conventional ultrasound and contrast-enhanced ultrasound were retrospectively analyzed and summarized. Results Epididymal tuberculosis was more common in the caudal epididymis, mainly manifested as diffuse heterogeneity or focal enlargement of the epididymis with heterogeneous echogenic nodules. According to the results of contrast-enhanced ultrasound, 43 cases of epididymal tuberculosis were divided into four types: heterogeneously enhanced 21 (21/43), annular enhancement in 17 cases (17/43), uniform enhancement in 3 cases (3/43) and non-enhancement in 2 cases (2/43). Conclusion Contrast-enhanced ultrasound can show the blood supply of epididymal tuberculosis in different pathological stages, and has certain value in the diagnosis of epididymal tuberculosis.