Study Of Color Doppler Ultrasound In Diagnosis Of Genital Trauma

Objective:To investigate the diagnosis of color Doppler on genital trauma, treatment and prognosis evaluation. Subjects and methods:In our hospital, the clinical data of 120 cases with genital trauma from 2009 June--2012 year in December were retrospectively analyzed. Of the 120 patients, 60 patients with two-dimensional ultrasound and color Doppler to observe, including 20 cases of testicular trauma, testicular rupture type in 3 cases, 4 cases of testicular hematoma, 8 cases of testicular trauma, 3 cases of epididymitis, 2 cases of testicular torsion. Female genital trauma in 40 cases, of which 20 cases with ruptured ectopic pregnancy, with corpus luteum rupture in 15 cases, 5 cases with ovarian cyst torsion. The other 60 patients without two-dimensional ultrasound and color Doppler to observe, including 20 cases of testicular trauma, 2 cases of testicular rupture, 4 cases of testicular hematoma, 10 cases of testicular trauma, 2 cases of orchitis type. Female genital trauma in 40 cases, with 21 cases of ectopic pregnancy, 16 cases with corpus luteum, combined with ovarian torsion in 3 cases, 20 cases of right testicle trauma, 16 cases of left testicular trauma, 4 cases of bilateral testicular trauma, right adnexal masses in 46 cases, 34 cases of left adnexal masses.Results of the 60 patients with two-dimensional ultrasound and color Doppler examination of patients, 59 cases were followed up, the follow-up rate was 98.3%, including 19 cases of testicular trauma follow-up, female genital trauma in 40 cases. Follow up time was 1 days--30 days, average 7 days. The testicular rupture were treated by operation and testicular torsion; testicular hematoma, contusion of testis, orchitis conservative therapy; female genital trauma, which ruptured ectopic pregnancy in 14 cases, 8 cases of rupture of corpus luteum and 3 cases of torsion of ovarian cyst were treated with operation, 6 cases of ectopic pregnancy, conservative treatment in 7 cases of rupture of corpus luteum.This group of 60 patients without two-dimensional ultrasound and color Doppler examination of patients, 58 cases were followed up, the follow-up rate was 96.7%, including 19 cases of testicular follow-up, follow-up rate was 95%, female genital trauma in 39 cases, the follow-up rate of 97.5%, follow-up time of 1 days--30 days, average 7 days. The testicular rupture were treated by operation and testicular torsion; testicular hematoma, contusion of testis, orchitis conservative therapy; female genital trauma, which ruptured ectopic pregnancy in 18 cases, 14 cases of rupture of corpus luteum and 3 cases of torsion of ovarian cyst were treated with operation, 3 cases of ectopic pregnancy, conservative treatment in 2 cases of rupture of corpus luteum. Conclusion(1) color Doppler is an important method in the diagnosis of genital trauma, contrast-enhanced ultrasound is helpful for evaluation of efficacy;(2) blood, urine HCG examination is an important index of ruptured ectopic pregnancy and the luteal phase difference;(3) than 1/3 rupture of testis and testicular torsion, parenchyma was not detected blood flow signal or a contralateral reduced obviously, operation treatment must be less than 1/3, testicular rupture, contusion of testis, testicular hematoma, orchitis can be conservative treatment, but further aggravate the disease, should be timely operation.(4) torsion of ovarian cyst is not agent and blood flow signals and the resistance index is very high to be operation treatment, the amount of bleeding not be conservative treatment of ectopic pregnancy and rupture of corpus luteum, haemorrhage quantity is very much, must operation.