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超声造影在睾丸肿块鉴别诊断中的临床应用价值

陈辉 刘若利 朱雪莲 金宣辰 林文雅 谢作流

中国现代医生2025,Vol.63Issue(14):15-17,30,4.
中国现代医生2025,Vol.63Issue(14):15-17,30,4.DOI:10.3969/j.issn.1673-9701.2025.14.004

超声造影在睾丸肿块鉴别诊断中的临床应用价值

Clinical application value of contrast-enhanced ultrasound in the differential diagnosis of testicular masses

陈辉 1刘若利 1朱雪莲 1金宣辰 2林文雅 1谢作流1

作者信息

  • 1. 温州医科大学附属第一医院超声科,浙江 温州 325000
  • 2. 温州医科大学第一临床学院,浙江 温州 325000
  • 折叠

摘要

Abstract

Objective To explore the clinical application value of contrast-enhanced ultrasound in the differential diagnosis of testicular masses.Methods A total of 63 patients at the First Affiliated Hospital of Wenzhou Medical University with testicular masses from January 2014 to August 2024 were sellected.All patients underwent both conventional ultrasound and contrast-enhanced ultrasound examinations.Among them,pathological results were obtained through surgical resection in 55 cases,and 8 non-tumorous patients were diagnosed through clinical follow-up.According to the results,testicular masses were classified into neoplastic and non-neoplastic lesions.Neoplastic lesions were further divided into benign and malignant masses.The routine ultrasound parameters,serum tumor markers and ultrasound contrast parameters were analyzed.Results In the differential diagnosis between neoplastic and non-neoplastic lesions of the testis,there were significant statistical differences in the maximum diameter of the mass,blood flow grade,enhancement time,and enhancement intensity(P<0.05).In the differential diagnosis between benign and malignant testicular masses,significant statistical differences were found in mass location,maximum diameter of the mass,echo characteristics,blood flow grade indicators,enhancement time,and enhancement intensity(P<0.05).Conclusion Contrast-enhanced ultrasound may have certain reference value in the diagnosis of testicular masses.Hypo-enhancement or non-enhancement,along with slow enhancement,may be manifestations of benign lesions.

关键词

超声造影/常规超声/睾丸肿块/鉴别诊断

Key words

Contrast-enhanced ultrasound/Conventional ultrasound/Testicular masses/Differential diagnosis

分类

临床医学

引用本文复制引用

陈辉,刘若利,朱雪莲,金宣辰,林文雅,谢作流..超声造影在睾丸肿块鉴别诊断中的临床应用价值[J].中国现代医生,2025,63(14):15-17,30,4.

基金项目

浙江省温州市基础性科研项目(Y2023541) (Y2023541)

中国现代医生

1673-9701

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