睾丸钟摆畸形与睾丸扭转22例报告-临床超声医学杂志.doc

PAGE PAGE 2 修改意见：1、注意论文的书写方法！！！2、结果中：重新整理表格！建议：分别列表表达精索团块和睾丸的二维及CDFI的特征；表中纵横项目对调！3、何为“实时精索团块”？与“精索团块”有何区别？文中混用！4、核实数据！如结果中表达：“彩色多普勒显示精索团块与睾丸内无血流信号35例”，与表中数据不一致。5、题目重点是精索团块的价值？如何体现？与睾丸声像特征对照吗？要表达清楚！请加统计学支持！6、“精索团块是诊断鞘膜内睾丸完全、不完全扭转最敏感、最特异的超声表现”，如何体现“最敏感、最特异”？？？7、讨论中第一段为“实时精索团块是诊断鞘膜内睾丸完全、不完全扭转最敏感、最特异的超声表现，它直接评估精索，结合睾丸的二维及彩色多普勒表现能作出诊断，但对诊断睾丸间隙性扭转有困难。”既然已经有这么肯定的结论，还有必要写本文吗？注意书写方法！！！是否该调整位置？ 8、修改的地方一定要用红色备注 精索团块在超声诊断睾丸扭转中的价值 郭建锋，李刚，朱荣峰 江苏大学医学院附属宜兴市人民医院超声科，江苏 宜兴 214200 摘要 目的 探讨精索团块在超声诊断睾丸扭转中的价值。方法 经超声检查的睾丸扭转患者42例，分析其阴囊的二维及彩色多普勒超声表现，仔细研究精索的走行，寻找有无精索团块。结果 所有病例均经手术证实。37例为完全扭转，二维及彩色多普勒上均可见精索团块，精索团块及其远端无血流信号。5例为不完全扭转，二维及彩色多普勒上均可见精索团块，精索团块内血流减少。结论 精索团块是睾丸完全、不完全扭转的特异性超声表现，超声诊断准确率高，可为临床诊断治疗提供可靠依据。 关键词 精索团块；睾丸扭转；超声检查 Value of Spermatic Mass in Sonographic Diagnosis of Testicular Torsion GUO Jianfeng, LI Gang The Affliated Yixing People Hospital,Jiangsu University 214200 China Abstract Objective To study the value of spermatic mass in sonographic diagnosis of testicular torsion.Methods 42 Patients with testicular torsion were included in the study. The gray scale and color Doppler ultrasound findings of the scrotum was retrospectively analyzed. The spermatic cord was studied carefully, and the spermatic mass was looked for. Results All cases were proved by operation. Complete torsion was seen in 37 patients who had the real-time spermatic mass on both gray scale and color Doppler imaging , There was no flood flow in the spermatic mass and absent flow distal to the spermatic mass. incomplete torsion was seen in 5 patients who had the spermatic mass on both gray scale and color Doppler imaging. There was reduced flood flow in the spermatic mass. Conclusions The sonographic spermatic mass is the specific sign of torsion, both complete and incomplete. the diagnostic accuracy is high, which can provide a reliable basis for clinical diagnosis and treatment. Key words: spermatic mass；testicular torsion; sonography 当前超声诊断睾丸扭转主要是二维观察睾丸、附睾，彩色多普勒观察睾丸内血流，将彩色多普勒观察