| 摘要: |
| 目的 分析探讨超声在小儿睾丸下降不全并发扭转中的诊断价值及其临床意义。方法 选取我院于2011年4月至2015年11月期间收治的312例睾丸下降不全患儿的病例资料进行回顾性分析，其中有9例患儿经手术治疗后证实有睾丸扭转的手术病理结果存在及其超声像图表现。结果 312例睾丸下降不全患儿病例中筛选出9例（2.9%）合并有睾丸扭转的患儿，其年龄、临床表现、手术结果等各项基本资料见表1。超声未显示正常睾丸声像患儿有1例，只有左侧腹股沟粗大网络样回声出现；声像图显示睾丸实质回声正常的患儿有1例，睾丸血流丰富，与精索连接处有“漩涡状”血流信号出现；超声像图有实质不均匀低回声团出现的患儿有6例，彩色多普勒显示睾丸内无血流信号，睾丸包膜不光滑；出现有睾丸畸胎瘤的患儿有1例。结论 临床上睾丸下降不全的患儿不少，但是同时合并有睾丸扭转的则不多，超声检查对于早期发现这类患儿有着较好的诊断价值和极为重要的临床意义。 |
| 关键词: 睾丸下降不全 睾丸扭转 超声 儿童 临床意义 |
| DOI： |
| 投稿时间：2016-07-16修订日期：2016-09-02 |
| 基金项目: |
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| The diagnostic value and clinical significance of ultrasonography in the diagnosis of incomplete testicular torsion in children |
| lvjuanping |
| () |
| Abstract: |
| objective To analyze and discuss the diagnostic value and clinical significance of ultrasonography in the diagnosis of testicular insufficiency in children. Method Selected in our hospital from November April 2011 to 2015 years admitted during the period of 312 cases of testicular descent not in children with clinical data were analyzed retrospectively, including 9 cases with surgery confirmed and ultrasonic image performance exists in testicular torsion surgery and pathology results. Result 312 cases of testicular descent of the children were screened in 9 cases (2.9%) patients with testicular torsion of children, the age, clinical manifestation and surgical outcome the basic data are shown in Table 1. Ultrasound showed no normal testicular ultrasound with 1 case, only the left inguinal large network like echo; sonogram showed testicular parenchyma of normal children, 1 cases, testicular blood flow rich, and spermatic cord junction "swirl" blood flow signals ; ultrasonic image have substantial inhomogeneous hypoechoic mass with 6 cases, color Doppler showed intratesticular no blood flow signal, testicular capsule is not smooth; testicular teratocarcinoma There were 1 cases of tumor in children. Conclusion There are a lot of children in the clinic, but there are not many cases with testicular torsion, and ultrasound examination is of great diagnostic value and very important clinical significance for early detection of this kind of patients. |
| Key words: Testicular insufficiency Testicular torsion Ultrasonic Children Clinical significance |
