Sonographic Diagnosis and Differential Diagnosis of Acute Testis Diseases

VernacularTitle:急性睾丸疾病的超声诊断与鉴别诊断
Author: Zhiyong LUAN ; Wenchao YU ; Weidong XU ; Yue SHI ; Jin PAN ; Juan CHEN
Publication Type:Journal Article
Keywords: testis diseases; emergency; ultrasonography
From: Chinese Journal of Medical Imaging 2009;(6):418-421
CountryChina
Language:Chinese
Abstract: Purpose:It is the authors' intention to improve the diagnostic and differential diagnostic accuracy of ultrasound for acute tes-tis diseases by analyzing the sonographic features.Materials and Methods:The sonographic features of 78 acute testis diseasess were analyzed.The results were compared with the clinical,surgical and pathological results.Results:78 patients had obviously different sonographic features between different types of acute testis diseases.12 testicular tumors were big mass with uneven internal echoes and often with calcification.The distributions of the vessels in the lesions were irregular or branch-like.26 cases of testicular contusion had scrotal wall edema and thickening,with low echo and liquid collection in the lesions.21 cases of acute orchitis usually intumesced with color ball-shaped rich blood flow signals.18 cases with testicular torsion had blood flow on the affected side decreased or disappeared,lcase of tuberculocele showed extremely uneven and various echoes mixed in testis.Conclusion: A fast and exact diagnosis or differential diagnosis of acute testis diseases can be obtained with ultrasound.