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超声弹性成像在睾丸和阴囊病变诊断中的作用。

THE ROLE OF ULTRASOUND ELASTOGRAPHY IN THE DIAGNOSIS OF PATHOLOGIC CONDITIONS OF TESTICLES AND SCROTUM.

机构信息

1Department of Diagnostic and Interventional Radiology, Zagreb University Hospital Centre, Zagreb, Croatia; 2University of Zagreb, School of Medicine, Zagreb, Croatia; 3Department of Transfusion Medicine and Transplantation Biology, Zagreb University Hospital Centre, Zagreb, Croatia.

出版信息

Acta Clin Croat. 2021 Mar;60(1):41-49. doi: 10.20471/acc.2021.60.01.06.

DOI:10.20471/acc.2021.60.01.06
PMID:34588720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8305351/
Abstract

Several years ago, elastography emerged as a potentially very useful ultrasound technique that is currently used in diagnostic workup of the breast, liver and some other organ systems, whereas for other ones it is still mainly in the phase of research. The aim of the study was to compare elasticity index (EI) of testicles using strain elastography in healthy subjects and those with pathologic changes of testicles/scrotum. A total of 117 patients were included in the study. Measurements were performed on a Logiq E9 ultrasound system using strain elastography. In healthy subjects, the mean EI value was 1.34±0.35 for right testis and 1.49±0.47 for left testis. Increased mean EI values were found in the following six conditions: patients with varicocele, infertile patients, solitary testis after orchidectomy of the other testicle because of tumor, patients with testicular tumors, patients after orchidopexy of undescended testicle, and patients with congenitally smaller testicle. There is a paucity of literature data on the use of elastography in testes, as well as on normal elastography values in testicular tissue. Strain elastography was demonstrated to be a valuable method to acquire additional information in patients with pathologic changes in testicles/scrotum. These data provide reference values for further research in a larger sample of subjects.

摘要

几年前，弹性成像是一种很有潜力的超声技术，目前已应用于乳腺、肝脏和其他一些器官系统的诊断，而对于其他系统，它仍主要处于研究阶段。本研究旨在比较睾丸应变弹性成像在健康受试者和睾丸/阴囊病变患者的弹性指数（EI）。共有 117 例患者纳入本研究。使用应变弹性成像在 Logiq E9 超声系统上进行测量。在健康受试者中，右侧睾丸的平均 EI 值为 1.34±0.35，左侧睾丸的平均 EI 值为 1.49±0.47。在以下六种情况下发现平均 EI 值增加：精索静脉曲张患者、不孕患者、因肿瘤行对侧睾丸切除术的单睾患者、睾丸肿瘤患者、未降睾丸行睾丸固定术的患者以及先天性睾丸较小的患者。关于弹性成像在睾丸中的应用以及睾丸组织的正常弹性值，文献数据较少。应变弹性成像被证明是一种在睾丸/阴囊病变患者中获取额外信息的有价值的方法。这些数据为进一步在更大样本量的受试者中进行研究提供了参考值。

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