Li Zhihai, Yin Meiling
Department of Ultrasound, Dalang Hospital, Dongguan, Guangdong, China.
Department of Science and Education, Dalang Hospital, Dongguan, Guangdong, China.
Medicine (Baltimore). 2024 Dec 20;103(51):e40905. doi: 10.1097/MD.0000000000040905.
This study aims to evaluate the ultrasonographic features associated with testicular infarction, determine the diagnostic effectiveness of contrast-enhanced ultrasound (CEUS) in assessing the testicular vascular system, and investigate the etiological factors contributing to testicular infarction. A retrospective analysis was performed involving 12 patients with confirmed testicular infarction. Each participant underwent standard superficial ultrasound examinations, followed by CEUS. The acquired imaging data were subsequently analyzed, taking into consideration the clinical conditions preceding the imaging assessments. A total of 13 lesions were detected across the 12 patients, with 1 individual exhibiting bilateral infarcts in the left testis. Based on the CEUS imaging findings, a classification system was developed to categorize the lesions into 4 distinct types: mediastinal branch infarction, small vessel infarction, capillary infarction, and mixed testicular infarction. This classification system offers a structured approach for understanding and potentially mitigating the causes of testicular infarction. CEUS markedly improves the diagnostic accuracy for testicular infarction and serves as a crucial tool in both the diagnosis and etiological assessment of this condition.
本研究旨在评估与睾丸梗死相关的超声特征，确定超声造影（CEUS）在评估睾丸血管系统中的诊断效能，并探究导致睾丸梗死的病因。对12例确诊为睾丸梗死的患者进行了回顾性分析。每位参与者均接受了标准的浅表超声检查，随后进行了CEUS检查。随后，结合成像评估前的临床情况，对获取的影像数据进行了分析。12例患者共检测到13个病灶，其中1例患者左侧睾丸出现双侧梗死。基于CEUS成像结果，开发了一种分类系统，将病灶分为4种不同类型：纵隔分支梗死、小血管梗死、毛细血管梗死和混合型睾丸梗死。该分类系统为理解并可能减轻睾丸梗死的病因提供了一种结构化方法。CEUS显著提高了睾丸梗死的诊断准确性，是该疾病诊断和病因评估的关键工具。
