Lim Seung-Hyun, Yang Dal Mo, Kim Hyun Cheol, Kim Sang Won, Kim Hyunmin, Lee Da In, Moon Sung Kyung, Park Seung Jin
Department of Radiology, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
Department of Radiology, Kyung Hee University Hospital, Seoul, Korea.
Ultrasonography. 2023 Apr;42(2):259-264. doi: 10.14366/usg.22169. Epub 2022 Dec 5.
This study investigated the size of torsed appendages and the interval between symptom onset and the ultrasonographic examination according to the echogenicity of the torsed appendages.
This was a retrospective analysis of 54 cases in 46 patients with torsion of the testicular appendages between December 2008 and July 2021. Eight patients received follow-up ultrasonography 7-48 days after initial ultrasonography. The echogenicity of torsed appendages was classified into three groups: hypoechoic, hyperechoic, or isoechoic.
The 54 torsed appendages were hypoechoic (n=40), hyperechoic (n=9), or isoechoic (n=5). The size of the torsed appendages ranged from 4 to 14 mm (8.0±3.1 mm) in hypoechoic torsed appendages and from 2.6 to 5.0 mm (3.7±0.9 mm) in hyperechoic torsed appendages. The interval between symptom onset and the ultrasonographic examination ranged from 0 to 17 days (4.2±4.4 days) in hypoechoic torsed appendages and from 8 to 48 days (29.8±16.0 days) in hyperechoic torsed appendages. The hyperechoic torsed appendages were smaller and had longer intervals between symptom onset and the ultrasonographic examination than the hypoechoic torsed appendages (P<0.05). Three hypoechoic torsed appendages and a single isoechoic torsed appendage on initial ultrasonography became hyperechoic on follow-up ultrasonography.
The size of the torsed appendages and the interval between symptom onset and the ultrasonographic examination varied according to the echogenicity of the torsed appendages. The hyperechoic torsed appendages were smaller and had longer intervals until the examination than the hypoechoic torsed appendages.
本研究根据扭转附件的回声性，调查扭转附件的大小以及症状出现至超声检查的间隔时间。
这是一项对2008年12月至2021年7月期间46例睾丸附件扭转患者的54个病例的回顾性分析。8例患者在初次超声检查后7 - 48天接受了随访超声检查。扭转附件的回声性分为三组：低回声、高回声或等回声。
54个扭转附件中，低回声的有40个，高回声的有9个，等回声的有5个。低回声扭转附件的大小为4至14毫米（8.0±3.1毫米），高回声扭转附件的大小为2.6至5.0毫米（3.7±0.9毫米）。低回声扭转附件症状出现至超声检查的间隔时间为0至17天（4.2±4.4天），高回声扭转附件为8至48天（29.8±16.0天）。高回声扭转附件比低回声扭转附件更小，症状出现至超声检查的间隔时间更长（P<0.05）。初次超声检查时的3个低回声扭转附件和1个等回声扭转附件在随访超声检查时变为高回声。
扭转附件的大小以及症状出现至超声检查的间隔时间根据扭转附件的回声性而有所不同。高回声扭转附件比低回声扭转附件更小，检查前的间隔时间更长。
