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超聲彈性成像對正常睪丸與異常睪丸組織的對比研究

發(fā)布時間:2018-03-09 09:10

  本文選題:睪丸 切入點:睪丸疾病 出處:《皖南醫(yī)學(xué)院》2014年碩士論文 論文類型:學(xué)位論文


【摘要】:目的:研究正常睪丸組織超聲彈性成像聲像圖的特點,比較雙側(cè)睪丸實質(zhì)應(yīng)變率的差異。探討病變睪丸組織超聲彈性成像聲像圖的特點,通過比較病變睪丸組織與正常睪丸組織超聲彈性成像聲像圖特點的差異,進(jìn)一步提高睪丸疾病的診斷率及其準(zhǔn)確性。 方法:對40例正常睪丸行常規(guī)超聲檢查,記錄下睪丸的大小、實質(zhì)回聲及血供情況,然后行超聲彈性成像檢查,,觀察睪丸超聲彈性成像聲像圖特點;測量雙側(cè)睪丸實質(zhì)區(qū)域的應(yīng)變率。對14例病變的睪丸同樣先行常規(guī)超聲檢查,記錄下睪丸的大小、實質(zhì)回聲及血供情況。然后,觀察病變睪丸超聲彈性成像聲像圖特點;評估病變睪丸病變區(qū)域的彈性得分。比較正常睪丸組織與病變睪丸組織超聲彈性成像聲像圖的差異,進(jìn)一步歸納、總結(jié)病變睪丸的超聲彈性成像聲像圖特點。 結(jié)果:(1)正常睪丸超聲彈性成像聲像圖表現(xiàn)為實質(zhì)中心區(qū)域以綠色為主,而邊緣區(qū)域則以藍(lán)色為主,并且在睪丸實質(zhì)周邊可見紅色周邊帶;中心區(qū)域與邊緣區(qū)域的應(yīng)變率比值約為0.56±0.12;雙側(cè)睪丸的應(yīng)變率未見明顯差異。(2)超聲彈性成像能反映睪丸病變組織的相對軟硬度,不同病因的病灶有著各自的彈性成像特點。 結(jié)論:超聲彈性成像技術(shù)可以評估睪丸組織的相對硬度,雖然異常組僅有部分病種,但超聲彈性成像在這些病種中的應(yīng)用,也為超聲對睪丸疾病的診斷及鑒別診斷提供了新方法。
[Abstract]:Objective: to study the characteristics of ultrasonic elastic imaging (EUS) of normal testicular tissue, and to compare the difference of the strain rate of the bilateral testis, and to explore the characteristics of the ultrasonic elastic imaging (EUS) of the diseased testicular tissue. In order to improve the diagnostic rate and accuracy of testicular diseases, the sonographic characteristics of ultrasonic elastic imaging were compared between the diseased testis and normal testicular tissues. Methods: 40 cases of normal testis were examined by conventional ultrasonography. The size of testis, echo of parenchyma and blood supply were recorded. The strain rate of bilateral testicular parenchyma was measured. The size of testis, echo of parenchyma and blood supply were recorded by conventional ultrasonography in 14 cases of testicular lesions. Then, the ultrasonographic characteristics of the affected testis were observed. To evaluate the elastic score of the diseased testis, to compare the difference between the normal testicular tissue and the diseased testicular tissue, and to sum up the characteristics of the ultrasonic elastic imaging sonogram of the diseased testis. Results (1) normal testicular sonography showed that the central region of the parenchyma was mainly green, while the marginal region was mainly blue, and the red peripheral zone was seen around the testis parenchyma. The ratio of strain rate between the central region and the marginal region was about 0.56 鹵0.12; there was no significant difference in the strain rate of bilateral testis. The ultrasonic elastic imaging could reflect the relative soft and hard degree of testicular lesions, and the lesions with different etiology had their own characteristics of elastic imaging. Conclusion: ultrasonic elastic imaging can be used to evaluate the relative hardness of testicular tissue. Although there are only some diseases in abnormal group, the application of ultrasonic elastic imaging in these diseases. It also provides a new method for the diagnosis and differential diagnosis of testicular diseases.
【學(xué)位授予單位】:皖南醫(yī)學(xué)院
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2014
【分類號】:R445.1

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