摘要
目的应用超声弹性成像(UE)技术观察急性附睾尾炎性包块在抗感染治疗过程中的变化。方法收集71例急性附睾炎患者,于初诊、治疗后1周、治疗后2周、临床治愈及治愈2周后行UE检查,对比观察附睾尾包块与睾丸应变率比值变化情况以及包块的转归。结果附睾尾炎性包块在UE声像图中呈蓝色。初诊时71例附睾尾均显示实性团块,平均直径约(4.40±1.51)cm,睾丸实质与附睾尾包块应变率比值(B/A)为8.87±2.16;治疗1周后附睾尾包块全部存在,平均直径约(3.63±1.82)cm,其硬度减低,B/A为4.23±2.04;治疗2周后25例包块消失,46例包块存在,平均直径约(2.57±1.14)cm,硬度较前减低,B/A为2.76±1.50;临床治愈时复查,19例包块存在,平均直径约(1.64±0.99)cm,其硬度与睾丸实质硬度的差异无统计学意义(P>0.05);临床治愈2周后,13例包块存在,平均直径约(1.44±0.57)cm,硬度与临床治愈时差异无统计学意义(P>0.05)。结论 UE可反映睾丸及周边组织的相对硬度。抗感染治疗过程中,附睾尾炎性包块的硬度逐渐减小,体积缩小直至消失,呈现出一定的规律性变化。
Objective To explore the value of ultrasound elastoegraphy （UE） for observation on clinical course of inflam matory mass in testicle tail with at different time during anti-inflammatory treatment. Methods Totally 71 patients with inflammatory masses in testicle tails underwent UE, and the strain rates （SR） between the masses and testicle （B/A） at first-visit, 7 days after first visit, 14 days after first-visit, clinical cure and 14 days after cured were observed. Results The inflammatory masses showed blue in UE sonogram. At first-visit, all patients showed masses with mean diameter （4. 401 1.51）cm, B/A was 8.87±2.16. Seven days after first-visit, all masses remained but were softer than before, the mean diameter decreased to （3.63±1.82） em, and B/A was 4. 23 ± 2.04. Two weeks after first-visit, 25 masses disap- peared, and 46 masses remained but were much softer, the mean di＇ameiLer decreased to （2.57±1.14）era, and B/A was 2.76±1.50. When examined after clinical cure, 19 of 71 masses remained with mean diameter of （1.64±0.99）era, their hardness had no statistical difference with that of testicle （P〉0.05）. Two weeks after clinical cure, 13 masses remained with mean diameter of （1.44±0. 57）cm, but their hardness were not statistically different from those at the time of clinical cure （P〉0.05）. Conclusion UE can be used to observe the hardness in and around the testicle. During the courses of an- ti-inflammation, both hardness and diameter of inflammatory masses decrease, showing certain regularity.
出处
《中国医学影像技术》
CSCD
北大核心
2012年第11期2068-2070,共3页
Chinese Journal of Medical Imaging Technology
关键词
附睾炎
弹性成像技术
睾丸
Epididymitis
Elasticity imaging techniques
Testis
