Horstman W G, Middleton W D, Melson G L
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO 63110.
Radiology. 1991 Apr;179(1):55-9. doi: 10.1148/radiology.179.1.2006304.
A study of 45 patients with 51 cases of hemiscrotal inflammatory disease was done to determine the color Doppler ultrasonographic appearance of scrotal inflammatory disorders. The diagnosis was ultimately established by means of appropriate response to antibiotic treatment (47 cases) or surgery (four cases). In all cases, there was evidence of hyperemia: an increased number and concentration of detectable vessels in the affected portion of the scrotum. In 17 cases, the gray scale images were normal, and the only evidence of inflammation was the presence of hypervascularity. Abnormally decreased epididymal vascular resistance was detected in 14 cases of epididymitis; abnormally decreased testicular vascular resistance was detected in six cases of orchitis. Spontaneous venous flow was present in 18 patients. The authors conclude that color Doppler can demonstrate the hyperemic response to scrotal inflammatory disease and that, in the proper clinical setting, it can supplement the gray scale findings and increase diagnostic confidence.
对45例患者的51例半侧阴囊炎性疾病进行了一项研究，以确定阴囊炎性疾病的彩色多普勒超声表现。最终诊断通过对抗生素治疗（47例）或手术（4例）的适当反应来确定。在所有病例中，均有充血迹象：阴囊受累部位可检测到的血管数量和浓度增加。17例患者的灰度图像正常，炎症的唯一证据是血管增多。14例附睾炎患者检测到附睾血管阻力异常降低；6例睾丸炎患者检测到睾丸血管阻力异常降低。18例患者出现自发性静脉血流。作者得出结论，彩色多普勒可以显示阴囊炎性疾病的充血反应，并且在适当的临床环境中，它可以补充灰度检查结果并提高诊断信心。
