年轻患者睾丸破裂以及对比增强超声检查的诊断价值

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由于阴囊钝性伤发生的睾丸破裂的特点是鞘膜受损，导致细精管挤压。

显现法，尤其是超声，在评估阴囊损伤方面发挥着至关重要的作用，并允许确定患者管理的进一步策略 - 保守治疗或外科手术。标准B模式超声和彩超是评估睾丸损伤的主要显现法，但对睾丸损伤的程度意义不大。 外科医生最重要的信息是鞘膜的完整性或破裂以及睾丸重要组织的损伤程度。由于水肿破坏了血管血流，导致睾丸的血管形成过多，仅从标准的超声检查的数据很难判断后者。如果彩色多普勒绘图的结果不确定，则必须使用其他现代成像方式，如造影剂增强超声，以确定受伤睾丸的生存能力。

本文描述了一名15岁足球运动员睾丸钝性伤的临床病例。

作者简介

Laura Eusebi

Radiology Unit, “Carlo Urbani” Hospital

Email: lauraeu@virgilio.it
ORCID iD: 0000-0002-4172-5126
意大利, Jesi

Maria T. Paparella

Department of Clinical and Experimental Medicine, Foggia University School of Medicine

Email: mt.paparella@gmail.com
ORCID iD: 0000-0003-2573-9509
意大利, Foggia

Andrea Marconi

Department of Urology, “Carlo Urbani” Hospital

Email: andreamarconi3@virgilio.it
意大利, Jesi

Giuseppe Guglielmi

Department of Clinical and Experimental Medicine, Foggia University School of Medicine; Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital

编辑信件的主要联系方式.
Email: giuseppe.guglielmi@unifg.it
ORCID iD: 0000-0002-4325-8330

Medical Doctor, Full Professor of Radiology, Department of Clinical and Experimental Medicine.

意大利, Foggia; Foggia

参考

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1. JATS XML
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2. 图1 B超检查影像。(a)代表破裂指数的白膜中断伴回声物质突出（箭头）；(b)睾丸内挫伤引起的中等量积血（ 箭头）和睾丸实质不均表现。

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3. 图2彩色多普勒超声影像显示睾丸形态不规则，断裂点存在无血管区（箭头）。

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4. 图3 造影剂增强超声可确定重要实质的范围，帮助术前决策过程，允许重要睾丸组织恢复，避免睾丸切除。

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5. 图4术中影像：(a)证实白膜破裂；(b)白膜直接缝合。

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