Testicles are more common in diseases, and patients are more likely to have symptoms of testicular pain after illness, and they often feel that they have a pain in their lower body. Patients find that they must treat such diseases in a timely manner.Otherwise, it will affect the patient's sexual life.So, what examinations do testicular reversal?
What examinations do testicular reversal?
1. Doppler ultrasound blood flow measurement
This detection can sensitively detect the changes in testicular blood flow. It is a kind of fast, simple, non -traumatic, no pain and repeated examination method. The diagnosis accuracy rate is as high as 81%to 90%.
During the examination, put the Doppler ultrasonic head head directly on the scrotum, move the probe along the testicular vertical axis, detect the testicular vascular sound, and explore the vascular sound as negative; compress the blood vessels, the vascular sound disappears to be positive, but the sides can be on both sides.In contrast, when the testicles are reversed, the blood flow decreases or disappears; the blood flow increases during acute epididymitis; when the testicular accessories are reversed, the blood flow is normal or increased.
However, this method also has a certain fake negative, often due to congestion and edema or incomplete reversal (within 180 °), the blood flow is not completely blocked.Breaking the interference.
Second, radioactive nuclein examination
Check the patient's oral potassium chloride to protect and block thyroid function. The vein is injected with 185 ~ 740MBQ potassium, the first mini is the development period, and the latter 5 to 10min is the testicular substantial period.Collect every 5 seconds.
Patients with testicular reversal are manifested as reduced vascular stage, reduced or disappeared in the substantial period, and a rings reaction occurs; patients with epididymitis are enhanced by vascular and substantial periods.
The accuracy of radioactive nucleo scanning diagnosis of testicular torsion is 87%to 100%, but there are also fake negative or false positives, which are mostly disturbed by the twisting time and the congestion of testicular tissue.The advantage of this method is painless, invasive trauma, fast, 10-15min can be completed without affecting emergency surgery time, but it cannot be repeatedly checked within 24H.
Teste to reverse can induce male infertility
Testes were once damaged by external forces, and occasionally caused infertility. This is mainly due to testicular trauma caused by testicular hematoma or testicular atrophy. Unilateral testicular trauma will be produced by antibody antibodies, which will affect the function of sperm in the other testicles.
The testes have a sudden onset of the disease, and it is fierce. The testicular and scrotum on one side of the disease will be severe pain.The pain is also limited to the scrotal parts from the beginning of the beginning. In the future, it will develop to the lower abdomen and the perineum.Because the sperm cable is also reversed, the blood vessels in the sperm cable are blocked, and the testicular lack of blood supply. If it is not treated in time, the testicular ischemia will occur, the color is dark, and gradually shrinks to cause functional loss.
The clinical manifestations of testes are mainly pain and swelling.If it happens in children, diagnosis is often not easy. Generally, children will have anorexia, restlessness, and general development. Sometimes they often delay treatment because they do not determine the diagnosis, causing unnecessary harm to patients.
(Editor in charge: Zheng Guisheng)
