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Journal of ZheJiang University(Medical Science)  1999, Vol. 28 Issue (2): 75-77    DOI: 10.3785/j.issn.1008-9292.1999.02.011
    
The Application of Two dimensional Ultrasonography and Color Doppler in Diagnosis of the Testis Torsion
Zhao Junkang, Jiang Tianan, Zheng Zhilan
First Affiliated Hospital of Zhejiang Medical University
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Abstract  

Objective:To study the image characteristics of two-dimensional ultrasonography and color doppler of the testis torsion and to differentiate testis torsion from other scrotal emergency.Methods:The morphologic changes of testis and internal echo were displayed with two-dimentional ultrasound, and the blood perfusion in testis was observed with color doppler. The results were compared with those of operation and pathology or clinical follow up.Results:The characteristics of sonography of testis torsion were as follows:①The position changes of testis and epididymis in scrotum.②The clear reduction or disappearing of blood supply in testis.③The whole enlargements of testis and epididymis.Conclusion:The color doppler ultrasonography has high accuracy, sensitivity and specificity, and it is a non-traumatic method and can judge the degree of torsion and offer proof for judging efficacy of operational result. It should be regarded as a first means for diagnosing torsion of testis.



Key wordsSpermatic cord torsin/ultrasonogr      Ultrasonography/diaguse      Echocardiography doppler/diag use     
Received: 04 June 1998      Published: 25 March 1999
Cite this article:

Zhao Junkang, Jiang Tianan, Zheng Zhilan. The Application of Two dimensional Ultrasonography and Color Doppler in Diagnosis of the Testis Torsion. Journal of ZheJiang University(Medical Science), 1999, 28(2): 75-77.

URL:

https://www.zjujournals.com/med/10.3785/j.issn.1008-9292.1999.02.011     OR     https://www.zjujournals.com/med/Y1999/V28/I2/75


二维超声及彩色多普勒在睾丸扭转诊断中的应用

目的:研究睾丸扭转的二维超声及彩色多普勒图像特点,以便早期诊断并与其他阴囊急诊作鉴别。方法:首先用二维超声显示睾丸、附睾形态结构及内部回声,再用彩色多普勒观察血供状况。将结果与手术病理对照或进行临床治疗随访。结果:76例阴囊急诊中诊断睾丸扭转24例,其二维超声及彩色多普勒特征如下:①睾丸及附睾在阴囊内位置的改变,②睾丸内血流明显减少或消失,③睾丸合并附睾弥漫性肿大。结论:彩超诊断睾丸扭转具有较高的准确性、敏感性和特异性,能较准确地判断睾丸扭转的程度,可作为手术复位疗效评价的依据,应作为诊断睾丸扭转的首选方法。


关键词: 精索扭转/超声检查,  超声检查法/诊断应用,  多普勒超声检查术/诊断应用 
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