彩色多普勒超声成像在干酪样坏死性附睾结核诊断中应用价值分析.docVIP

彩色多普勒超声成像在干酪样坏死性附睾结核诊断中应用价值分析 　　[摘要] 目的 探讨彩色多普勒超声成像在干酪样坏死性附睾结核诊断中的应用价值。方法 随机选取该院自2011年12月―2014年12月收治的干酪样坏死性附睾结核患者60例，均采取彩色多普勒超声成像检查，对检查结果进行分析。 结果 该组60例患者经过彩色多普勒超声检查，均发现异常改变。病变部位局限在左侧附睾的患者13例，局限在右侧附睾的患者21例，而双侧附睾的患者26例；结核位于尾部、睾头的患者11例，位于附睾头部的患者5例，位于附睾尾部的患者44例；病灶的内部可以看见丰富，或者较为丰富的动、静脉血流信号的患者20例；病变结节大多数与周围的组织分界不清楚，相邻的囊壁出现脓肿患者8例，其中表面皮肤出现窦道相通的患者4例；60例患者中病变结节共有71个，其中低回声的结节52个，弱增强回声的结节19个。结论 彩色多普勒超声成像在干酪样坏死性附睾结核诊断中的应用价值显著，也可用于抗结核治疗的疗效检验，是一种优秀的检查方法。 　　[关键词] 彩色多普勒超声成像；干酪样坏死性附睾结核；诊断；应用价值 　　[中图分类号] R6 [文献标识码] A [文章编号] 1674-0742（2015）09（c）-0158-02 　　[Abstract] Objective To investigate the value of color Doppler ultrasound imaging in diagnosis of epididymis tuberculosis with caseous necrosis. Methods 60 patients with epididymis tuberculosis with caseous necrosis admitted to the hospital between December 2011 and December 2014 were selected. They all underwent color Doppler ultrasonography， and the inspection results were ananlyzed. Results Abnormalities were found in all the 60 patients undergoing color Doppler ultrasonography. Lesions confined to the left side of the epididymis can be noted in 13 patients， and those confined to the right side of the epididymis can be found in 21 patients， and those in both sides can be observed in 26 patients. Tuberculosis located in both caput epididymis and cauda epididymis in 11 patients， in caput epididymis in 5 patients and in cauda epididymis in 44 patients. Rich or relatively artery and vein blood flow signals in internal lesions can be observed in 20 patietns. There were no clear boundaries between most nodules and surrounding tissue and abscess was found in adjacent cyst wall in 8 patients， 4 of whom were found sinus interlinked on skin surface. All the 60 patients were found with 71 nodules， including 52 middle and low echo nodules and 19 weakly enhanced echo nodules. Conclusion As an excellent screening method， color Doppler ultrasound imaging shows remarkable value in diagnosis epididymis tuberculosis with caseous necrosis， and c