RESULTS AND BENEFITS OF ULTRASOUND EXAMINATION IN ACUTE SCROTAL SYNDROME

Abstract

  Abstract. The goal of the study was optimization noninvasive methods of diagnosis in acute scrotum syndrome in children. Material: the results of treatment of children aged 1 to 18 years with acute scrotal syndrome were studied. Of these, 124 (61.4%) patients had torsion of the testicular hydatid, 57 (28.2%) had testicular torsion, and 21 (10.0%) had inflammation of the testicle and its elements. Research method: ultrasound results of patients with acute scrotal syndrome were used. Result of the study: in 41% of patients with uncomplicated hydatid torsion, minimal changes in the organs of the scrotum were detected by ultrasound; in 56.1% of patients with testicular torsion, there was a violation of the adjacent skin of the testicular vagina, in the structures of the spermatic cord of its part of the scrotum. Conclusion: with testicular torsion, the ultrasound criterion is an increase in blood flow in the internal organs by 2-4 times, an increase in the size of the testicle, heterogeneity of composition, and with hydatid torsion, the blood flow increases to 10% of normal significant (>20%) enlargement of the testicle. An average enlargement of the testicle with a moderate increase in blood flow (up to 10%) is regarded as acute epididymitis, and an increase in testicular size with an increase in blood flow up to 10% of the norm is considered an ultrasound criterion for acute orchitis.