摘要
目的:总结外科泌尿生殖系统急症的超声图像特征,探讨超声对外科泌尿生殖系统急症的诊断价值。方法:对379例男女泌尿系统急症及19例男性生殖系统急症进行黑白及(或)彩色多普勒超声检查,并将其超声检查资料与最终的临床结果相对照。结果:超声诊断泌尿系统结石220例,诊断符合率95.7%(220/230);诊断肾脏挫裂伤14例,诊断符合率87.5%(14/16);膀胱炎101例,诊断符合率85.6%(101/118);急性尿潴留11例,诊断符合率100%(11/11);膀胱异物及膀胱破裂各2例,诊断符合率100%(4/4);睾丸附睾炎10例,诊断符合率100%(10/10);睾丸扭转8例,诊断符合率88.9%(8/9)。结论:超声对外科泌尿生殖系统急症具有重要的诊断价值;一般情况下,二维超声即可满足检查的需要;但对于睾丸附睾的急症则应使用彩色多普勒超声仪器进行检查。
Objective： To summerize the ultrasonographic features of the surgical emergencies in urinary and reproductive system and hither to explore the value of ultrasound in these areas. Methods： Two-demensional and（or） color-Doppler uhrasonography were exploited in the surgical emergencies in 398 cases. All the ultrasonic data were later compared with their ultimate clinic diagnoses. Results ： Those diagnosed ultrasonographically were 220 cases of urinary stone with an acurate diagnosis rate of 95.7% （220/230） ; 14 cases of renal trauma with an acurate diagnosis rate of 87.5% （14/16） ;101 cases of bladder inflammation with an acurate of 85.6% （101/118） ;11 cases of acute retention with an acurate diagnosis of 100% （11/11） ;2 cases of bladder foreign body and another 2 cases of bladder rupture with an acurate diagnosis rate of 100% （4/4） ;10 cases of testieal and epidydimal inflammation with an acurate diagnosis rate of 100% （10/10）;8 cases of testical torsion with an acurate diagnosis rate of 88.9% （8/9）. Conclusion： Ultrasound has great diagnostic value for surgical emergencies of the urinary and reproductive system;Two-dimensional ultrasound can normally meet the diagnostic demand in these respects;and color Doppler ultrasound must be applied to testical and epidydimal emergencies.
出处
《河南医学研究》
CAS
2009年第2期158-161,共4页
Henan Medical Research
关键词
超声
彩色多普勒超声
泌尿系统
男性生殖系统
急症
ultrasound
color Doppler ultrasound
urinary system
male reproductive system
emergency
