Y Testicular ultrasound yog cov txheej txheem zoo heev uas feem ntau ua los kuaj xyuas ntau yam kab mob ntawm scrotum. Nov yog cov txheej txheem yooj yim uas tso cai rau koj kom tau txais cov txiaj ntsig raug yuav luag tam sim.
Tau kawg, cov neeg mob xav paub ntau ntxiv. Dab tsi tuaj yeem ua ultrasound ntawm cov noob qes hauv cov txiv neej? Dab tsi yog qhov qhia tau rau tus txheej txheem? Qhov kev kuaj mob no yuav raug nqi npaum li cas? Qhov kev xeem puas txaus ntshai? Teb rau cov lus nug no hauv peb tsab xov xwm.
Testicular ultrasound: cov ntsiab lus ntawm cov txheej txheem, nws qhov zoo thiab qhov tsis zoo
Nws tsis yog qhov zais cia tias ultrasound niaj hnub no tau siv dav los kuaj xyuas qee yam kab mob. Thiab cov txiv neej feem ntau raug xa mus rau cov txheej txheem uas cuam tshuam nrog kev tshuaj xyuas lub cev ntawm lub scrotum siv cov khoom siv ultrasound.
Ib qho tshwj xeeb ultrasonic sensor tsim cov pulses uas tau cuam tshuam los ntawm cov ntaub so ntswg ntawm tib neeg lub cev. Reflected signals yog tsau, uas ua rau nws muaj peev xwm txiav txim siab qhov ceev ntawm ib tug tshwj xeeb qauv.
Cov txheej txheem no muaj ntau qhov zoo. PibNco ntsoov tias qhov no yog ib txoj kev ceev, yooj yim thiab tsis-invasive. Thaum nws ua tiav, tsis muaj kev sib cuag nrog tus neeg mob cov ntshav, uas ua rau kev kis kab mob ua tsis tau. Kev ntsuam xyuas tsis mob thiab tsis muaj mob, thiab cov txiaj ntsig tuaj yeem tau txais yuav luag tam sim. Cov khoom siv rau kev kuaj ultrasound, raws li txoj cai, muaj nyob hauv txhua lub tsev kho mob. Nov yog ib txoj kev pheej yig rau cov neeg mob nyiaj txiag.
Cov txheej txheem tso cai rau koj los tshuaj xyuas tsis yog tsuas yog cov noob qes xwb, tab sis kuj yog cov hlab ntsha thiab cov nqaij mos ntawm lub scrotum. Raws li rau minuses, qog me me, abscesses thiab lwm yam qauv ntawm ultrasound tsis tuaj yeem pom ib txwm. Txawm li cas los xij, hauv kev xyaum kho mob niaj hnub no, ultrasound yog ib feem tseem ceeb ntawm kev kuaj mob ntawm yuav luag txhua yam kab mob ntawm lub cev.
Thaum ultrasound xav tau, qhia rau tus txheej txheem
Muaj ntau tus lej qhia rau kev kuaj ultrasound ntawm cov noob qes. Hauv cov tub hluas thiab cov txiv neej laus, cov txheej txheem pab txheeb xyuas ntau yam kab mob. Daim ntawv teev cov lus qhia yog tsim nyog nyeem. Kev tshuaj ntsuam xyuas tau raug sau tseg hauv cov xwm txheej zoo li no:
- Txiv neej tsis muaj menyuam.
- Ntau cov noob qes lossis lawv cov appendages.
- Kev txo cov noob qes (ob leeg ib thiab ob sab).
- Erectile kawg thiab lwm yam teeb meem nrog kev sib deev.
- Orchitis, epididymitis thiab lwm yam kab mob ntawm cov kab mob scrotal (los yog xav tsis thoob ntawm lawv txoj kev loj hlob).
- me me hemorrhages thiab hematomas nyob rau hauv cov ntaub so ntswg ntawm lub scrotum, tsim los ntawm ib tug tshwm sim ntawm kev raug mob rau lub puab tais.
- Nkauj tawm tshiabqog nqaij hlav (ob leeg benign thiab malignant).
- Yog tias pom cov ntshav nyob hauv cov phev kuaj thaum kuaj.
- o ntawm cov qog ntshav hauv cheeb tsam (piv txwv li, femoral, inguinal), uas yuav qhia tau tias muaj cov txheej txheem inflammatory lossis malignant hauv scrotum.
- Nyob ntawm cov hlab ntsha ntawm cov hlab ntsha spermatic.
- Cryptorchism (ib yam kab mob uas cov noob qes, rau ib qho lossis lwm qhov, tsis nqis los rau hauv lub scrotum, tab sis tseem nyob hauv lub plab kab noj hniav).
- Ua ntej kev phais scrotal.
- Kev xav ntawm oblique inguinal hernia.
- Scrotal swelling.
- Kom saib xyuas tus neeg mob tus mob tom qab kev phais lossis kev kho mob.
- Cov tub hluas tau teem sijhawm sim yog tias lawv lig dhau lawm lossis ntxov dhau ntawm kev puberty.
Tau kawg, qee zaum yuav tsum tau kuaj ntxiv txhawm rau txhawm rau kuaj pom tseeb. Yog li ntawd, cov kws kho mob sau tsis tsuas yog ultrasound. Qhov no yog ib txwm xyaum thiab yuav tsum tsis txhob ntshai.
Kuv xav tau kev npaj
Testicular ultrasound yog txheej txheem yooj yim heev uas tsis tas yuav npaj tshwj xeeb. Nws yuav txaus tsuas yog cov txheej txheem kev tu cev tam sim ntawd ua ntej kev kuaj mob. Yog hais tias peb tham txog ultrasound ntawm cov noob qes nyob rau hauv cov me nyuam, ces nws yog tsim nyog los to taub hais tias tus me nyuam tej zaum yuav xav tau kev npaj rau lub hlwb. Nws yog ib qho tseem ceeb uas yuav tau piav qhia rau tus tub cov yam ntxwv ntawm tus txheej txheem.
Survey methodology
Testicular ultrasound yog qhov txheej txheem ceev thiab tsis mob. Ua ntej, tus kws kho mob kho cov ntaub so ntswg ntawm lub scrotum nrog ib tug tshwj xeeb conductive gel, thiab ces khiav ib tug high-frequency sensor hla ntawm daim tawv nqaij. Xws li manipulations tsis ua rau mob lossis tsis xis nyob. Tus neeg mob pw ntawm nws nraub qaum lossis ntawm nws sab, nyob ntawm seb qhov twg ntawm lub scrotum tus kws kho mob yuav tsum tau kuaj xyuas. Kev siv tshuaj loog hauv zos tsuas yog xav tau yog tias palpation ntawm lub cev no nrog qhov mob hnyav (qhov no tau pom, piv txwv li, nrog rau cov pob txha torsion, o, mob hnyav).
Cov txheej txheem yuav siv sijhawm ntev li 15 - 30 feeb. Cov txiaj ntsig tau tshwm sim ntawm lub khoos phis tawj saib. Tom qab kev kuaj mob tiav lawm, tus kws kho mob tshwj xeeb kos cov lus xaus uas tus neeg mob yuav tau mus rau tus kws kho mob uas tuaj koom.
Deciphering cov txiaj ntsig, qauv thiab pathology
Thaum tus txheej txheem, tus kws kho mob ua tib zoo saib xyuas ntau lub cev ntawm tus txiv neej lub cev. Dab tsi yog ib qho tseem ceeb tshaj plaws rau ultrasound hauv cov tub? Qhov loj ntawm cov noob qes (cov noob qes) yog qhov uas tus kws tshaj lij saib ua ntej.
Yuav ua li cas txiav txim siab cov txiaj ntsig ntawm kev tshawb fawb? Qhov loj npaum li cas ntawm cov noob qes hauv cov tub nrog ultrasound? Hauv qhov no, ntau nyob ntawm lub hnub nyoog ntawm tus neeg mob. Hauv cov menyuam yaus hnub nyoog 2 txog 8 xyoo, qhov dav ntawm cov noob qes nyob ntawm 0.76 txog 0.78 cm, thiab qhov ntev yog los ntawm 1.48 txog 1.53 cm. Hauv cov tub hluas hnub nyoog 8 txog 10 xyoo, qhov ntsuas no yog 0.86 - 0.88 / 1.82 cm. cov menyuam hnub nyoog 11-13 xyoos, cov noob qes yog 1.62 / 3.09-3.12 cm.14 - 17 xyoo yog 2, 05-2, 12/3, 84-3, 96.
Tom qab hnub nyoog 18 xyoo, cov noob qes tau txais lawv qhov loj kawg nkaus. Qhov dav ntawm cov noob qes ntawm tus txiv neej laus yog 2.5 - 3 cm, thiab qhov ntev yog 4-6 cm.
kab mob dab tsi tuaj yeem txheeb pom
Dab tsi yog qhov kuaj qog nqaij hlav qog nqaij hlav? Txoj kev kuaj mob no tso cai rau koj los txiav txim sai sai ntawm qhov muaj qee yam teeb meem.
- Piv txwv li, ultrasound tuaj yeem kuaj pom cov qog nqaij hlav hauv cov nqaij mos ntawm lub scrotum, uas ntawm qhov screen zoo li cov qauv me me. Cov txheej txheem ua rau nws muaj peev xwm txheeb xyuas me me benign lossis malignant neoplasms thiab pib kho tam sim ntawd.
- Thaum tus txheej txheem, koj tuaj yeem pom pob zeb thiab lwm yam calculi, txiav txim siab lawv qhov chaw thiab qhov loj me.
- Qhov muaj ntau ntawm cov kua dej dawb nyob nruab nrab ntawm daim nyias nyias ntawm cov noob qes qhia txog kev loj hlob ntawm te. Qhov no kuj tuaj yeem pom ntawm qhov screen thaum kuaj.
- Qhov tshwm sim ntawm homogeneous tsim ntawm ntau qhov ntom ntom feem ntau qhia tias muaj qhov abscess.
- Yog tias muaj kev raug mob, thaum lub sijhawm ultrasound, tus kws kho mob tuaj yeem pom cov ntshav thiab kua muag nyob rau hauv cov qauv ntawm lub scrotum.
- Cov txheej txheem tso cai rau koj kuaj xyuas varicocele - ib qho kab mob uas muaj nrog varicose leeg ntawm cov phev qaum.
- Thaum kuaj, kuaj pom tus txheej txheem inflammatory.
YPuas muaj contraindications
Ultrasound yog txheej txheem uas tuaj yeem ua rau cov neeg mob ntawm txhua lub hnub nyoog. Muaj contraindications rau kev siv ntawm xws li ib tug kuaj mob, tab sislawv tag nrho ib ntus. Piv txwv li, koj yuav tsum tsis txhob kuaj xyuas lub scrotum nrog kev sojntsuam ultrasound yog tias muaj qhov txhab qhib, yaig, mob thiab lwm yam kev puas tsuaj ntawm daim tawv nqaij ntawm qhov chaw ntawm lub cev. Hauv qhov no, koj yuav tsum xub tos kom tsis txhob kho. Ib ntus contraindications suav nrog lub sijhawm postoperative. Yog hais tias muaj cov sutures tshiab ntawm daim tawv nqaij ntawm lub scrotum, ces cov txheej txheem yog muab tom qab kho.
Muaj kev phiv tshwm sim
Ntau tus neeg xav paub seb qhov txheej txheem no puas txaus ntshai rau kev noj qab haus huv. Txawm hais tias muaj lus xaiv txog kev phom sij ntawm ultrasound hluav taws xob, ntau cov kev tshawb fawb kho mob tau pom tias cov txheej txheem kuaj mob no muaj kev nyab xeeb kiag li, tshwj xeeb tshaj yog thaum piv nrog lwm cov txheej txheem, xws li scrotal X-rays
Tus nqi thiab tshuaj xyuas tus neeg mob
Ultrasound tau raug suav hais tias yog ib qho ntawm cov txheej txheem ua tau zoo tshaj plaws thiab pheej yig, uas tau ua hauv yuav luag txhua lub tsev kho mob. Cov kws kho mob nco ntsoov tias siv cov txheej txheem kuaj mob zoo li no, koj tuaj yeem kuaj xyuas cov kab mob ntawm lub scrotum sai sai, txheeb xyuas qhov ua txhaum cai thiab kuaj xyuas zaum kawg.
Cov txheej txheem tsis mob, tsis cuam tshuam nrog kev raug mob thiab kev txhim kho ntawm cov kev mob tshwm sim, uas tuaj yeem raug ntaus nqi rau qhov zoo. Thaum lub sij hawm xws li manipulations, koj tuaj yeem kuaj tsis tau tsuas yog cov noob qes xwb, tab sis kuj yog cov appendages thiab cov hlab ntsha. Feem ntau, nws yog ultrasound uas pab ua qhov kev kuaj mob zaum kawg. Tib neeg sau txog qhov no hauv lawv qhov kev tshuaj xyuas lub qe qe menyuam.
Cov pluses kuj suav nrog tus nqi pheej yig ntawm cov txheej txheem. NqeQhov nruab nrab ntawm 900 mus rau 2500 rubles (nws tag nrho yog nyob ntawm tus yam ntxwv ntawm manipulation). Cov neeg mob nco ntsoov tias qhov kev kuaj mob no pheej yig dua li ntau lwm txoj hauv kev kuaj.
