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Keywords:
Emergency, Ultrasound, Diagnostic procedure, Acute
Authors:
A. V. Prochorov; Moscow/RU
DOI:
10.1594/ecr2014/B-1011
Methods and materials
Prospective comprehensive investigation of urogenital organs,
including traditional clinical and laboratory examinations,
high-resolution ultrasound and Doppler performed in 86 patients admitted to hospital with diagnosis of acute epididymitis.
Terms of admission to hospital from the beginning of disease amounted to 2,5 (0,5 - 7,5) days.
Ultrasound performed at the apparatus of the expert class “Voluson E8” and “Voluson 730 exp” (GE,
USA) using linear probe high-resolution (6 - 16 MHz) and transrectal probe (5 - 9 MHz).
All anatomical parts of the VD were studied,
except pelvis parietal part its. Dimensions and structure of the VD were assessed at grey scale ultrasound.
The studying sonographic structure VD included an assessment of level-by-level differentiation of the wall and the lumen of the VD.
Vascularization of the VD was studied in the scrotum part of the VD by energy Doppler,
using the criterion vascular density VD,
which reflects the number of vascular signals attributable to the cross-sectional area of the VD.
Qualitative and quantitative evaluation of blood flow in the artery VD was made using the spectral Doppler. Pathomorphological examinations of the testis,
epididymis and elements of the spermatic cord after orchiectomy for destructive acute epididymitis were performed in 32 (37,2%) patients.
The control group consisted of 60 patients aged 18 to 85 years,
without a history of inflammatory infectious diseases of the urethra,
prostate gland,
seminal vesicles and of the scrotum.
For analysis of the study results were used non-parametric statistical methods using package “Statistica 10,0”.
Statistical analysis results are presented in the form M (min - max),
where M is the median.
Correlation between parameters was studied by Spearman’s method and is expressed by the correlation coefficient (r),
reliability of statistical hypotheses were evaluated on criteria p.