| 摘要: |
| 目的 探讨超声常规扫查阴囊诊断以急性腹痛为首发症状的睾丸扭转的价值。方法 对1052例以急性腹痛就诊的11 ~18岁患者,常规运用高频二维超声检查睾丸、精索, CDFI观察睾丸血流灌注。超声诊断睾丸扭转者行急诊手术,记录起病至手术间隔时间,比较超声诊断与手术结果。结果 1052例患者中超声诊断7例共7只睾丸扭转,与手术结果相符。睾丸扭转术后6只存活、1只坏死,二者起病至手术间隔时间分别为2.5~5小时、11小时。结论 运用高频超声常规扫查阴囊,能及时诊断以急性腹痛为首发症状的睾丸扭转。 |
| 关键词: 超声检查 睾丸扭转 腹痛 |
| DOI： |
| 投稿时间：2017-12-21修订日期：2018-01-08 |
| 基金项目: |
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| Ultrasound examine routinely scrotum diagnose testicular torsion with first presentation of abdominal pain |
| xiejun |
| () |
| Abstract: |
| ABSTRACT Objective To explore the value of ultrasound examine routinely scrotum diagnose testicular torsion with first presentation of abdominal pain. Methods The testis and spermatic cords were examined routinely in 1052 patients aged 11 to 18 with acute abdominal pain by high frequency two dimensional ultrasonography. Observe the testicular blood perfusion by CDFI. Patients were diagnosed testicular torsion by ultrasonography, should be treated by emergency surgical. Record the interval from onset of the disease to surgery,compare the results between ultrasonic diagnosis and surgery. Results In 1052 patients,ultrasound diagnosed testicular torsion in 7 cases, coincident with their surgical finds. There were 6 testis survived and 1 was necrotic after surgery. The interval from onset of the disease to surgery were 2.5-5 hours and 11 hours.Conclusion Examine routinely scrotum by high frequency ultrasound, testicular torsion with first presentation of abdominal pain were diagnosed promptly. |
| Key words: Ultrasonography Testicular torsion Abdominal pain |
