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目的探讨彩色多普勒高频超声对睾丸疾病鉴别诊断的价值。方法对76例经手术及病理或临床证实的睾丸疾病声像图和彩色血流进行回顾性分析。结果76例中睾丸肿瘤10例(其中精原细胞瘤6例、胚胎细胞癌1例、畸胎瘤1例、卵黄囊瘤1例、结肠癌转移1例);睾丸损伤19例;睾丸扭转8例;睾丸囊肿2例;睾丸网扩张3例;隐睾20例(均为腹股沟型);睾丸微石症3例;睾丸炎10例;睾丸结核1例;均经手术及病理或临床证实。结论高频彩色多普勒超声能显示各种睾丸疾病的声像图和血供特点,为临床诊断提供了重要价值。
Objective To investigate the value of color Doppler ultrasonography in the differential diagnosis of testicular diseases. Methods A retrospective analysis of 76 cases of testicular disease confirmed by surgery and pathology or clinical evidence of color flow and blood flow were retrospectively analyzed. Results 76 cases of testicular tumors in 10 cases (including 6 cases of seminoma, embryonal cell carcinoma in 1 case, teratoma in 1 case, yolk sac tumor in 1 case, colon cancer metastasis in 1 case); testicular injury in 19 cases; testicular torsion 8 2 cases of testicular cysts, 3 cases of testicular distension, 20 cases of cryptorchidism (all of them were groin type), 3 cases of testicular microlithiasis, 10 cases of testicular inflammation and 1 case of testicular tuberculosis. All cases were confirmed by operation, pathology and clinical examination. Conclusion High-frequency color Doppler ultrasound can display the sonographic features and blood supply characteristics of various testicular diseases, and provide important value for clinical diagnosis.