Buchberger W, Furtschegger A, Kastlunger W, Jenewein K, Waldenberger P
Univ. -Klinik für Radiodiagnostik Innsbruck.
Rofo. 1990 Oct;153(4):385-9. doi: 10.1055/s-2008-1033400.
65 patients with penetrating or blunt scrotal trauma underwent scrotal ultrasound. High-resolution real-time sonography was able to differentiate testicular from extratesticular lesions in all cases. Lesions of the epididymis were diagnosed in 14 cases. In epididymal haematoma sonography revealed an hyperechoic enlarged epididymis whereas posttraumatic epididymitis was demonstrable as hypoechoic swelling. 14 testicular ruptures and 6 testicular haematomas without disruption of the tunica albuginea were correctly diagnosed. Diagnosis could be confirmed at operation in 12 cases and by clinical and sonographic follow-up in 8 cases. A heterogeneous parenchymal pattern, contour abnormalities, poorly defined margins and obvious fragmentation of the testicle strongly suggest testicular rupture.
65例阴囊穿透伤或钝挫伤患者接受了阴囊超声检查。高分辨率实时超声检查在所有病例中均能区分睾丸病变与睾丸外病变。14例患者被诊断为附睾病变。在附睾血肿中，超声检查显示附睾回声增强且肿大，而创伤后附睾炎表现为低回声肿胀。14例睾丸破裂和6例白膜未破裂的睾丸血肿被正确诊断。12例通过手术确诊，8例通过临床及超声随访确诊。实质回声不均匀、轮廓异常、边界不清以及睾丸明显碎裂强烈提示睾丸破裂。
