МЕЖДУНАРОДНАЯ КОНФЕРЕНЦИЯ
АКАДЕМИЧЕСКИХ НАУК
149
RESULTS AND BENEFITS OF ULTRASOUND EXAMINATION IN
ACUTE SCROTAL SYNDROME
Karimov D.K.
Mirzakarimov B.KH.
Yulchiyev K.S.
Andijan State Medical Institute, Andijan city.
https://doi.org/10.5281/zenodo.12547339
Relevance:
The problem of acute scrotum (AS) in children is one of the most
pressing problems in pediatric surgery, accounting for about 20% of all emergency
pathologies in childhood [3, 4, 8, 10]. Among acute testicular diseases in children, the
first place in terms of prevalence is pathology of the testicles and epididymis (torsion
and necrosis of the hydatid). The next place is occupied by testicular torsion, nonspecific
orchiepididymitis [1, 2, 7, 8], and traumatic injuries. Most of the above conditions
require prompt diagnosis [5, 6, 9]. In conclusion, it is necessary to develop general and
non-invasive criteria, such as ultrasound, when diagnosing AS in such cases.
Purpose of the study.
Optimization of non-invasive diagnostic methods for
acute inflammation of the scrotum in children.
Material and research methods.
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. The results of ultrasound
examination of patients with acute scrotal syndrome were used.
Results 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.
References:
1.Aboev 3.A. Acute diseases of the scrotal organs. Clinic, diagnosis and
treatment: abstract. diss.Sci. // – Moscow, 2001. – 95 p.
МЕЖДУНАРОДНАЯ КОНФЕРЕНЦИЯ
АКАДЕМИЧЕСКИХ НАУК
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2.
Averchenko M.V. Ultrasound diagnosis of volumetric fluid formations of
the scrotal organs in children / V.I. Averchenko, I.A. Karachev, S.Yu. Komarova //
Ninth Russian Congress “Innovative technologies in pediatrics and pediatric
surgery”. – M., 2020. – P. 332.
3.
Kirpatovsky I.D. Immunosuppressive properties of human chorionic
gonadotropin and its use in complex immunosuppressive therapy for testicular
transplantation. / I.D.Kirpatovsky, S.S.Gambarov, A.A.Suzdaltseva // Urol. and
Nefr., 1987. No. 3. – P. 50–53.
4.
Minaev S.V. Ultrasound examination in the syndrome of “acute scrotal
edema” in children. / S.V.Minaev, Yu.N.Bolotov, N.N.Pavlyuk // Surgery, 2008.
No. 4. – pp. 55–58.
5. 130.
Tekgül S, Dogan HS, Erdem E, Hoebeke P. Guidelines on Paediatric
Urology. ESPU, 2015. 14–15 p.
6.
Tereshchenko A.E. Immunological disorders in testicular torsion in
children / A.E. Tereshchenko, V.P. Chernysho, A.N. Zinchenko // Vest. surgery
named after I.I.Grekova, 2016. No. 5. – pp. 103–105.
7.
Fenner M.N. Testicular scanning: evaluating the acute scrotum in the
clinical setting. M.N.Fenner, D.A.Roszhart, J.H.Texter // Urology, 2021 Sep;
38(3):237-41.
8. 131.
Van Glabeke E. Acute scrotal pain in childremresults of 543 surgical
explorations /Е. Van Glabeke // Pediatr Surg Int. 2019 Jul; 15(5-6):353-7.
9.
Ishizu K. Two cases of testicular infarction: the usefulness of enhanced
MRI for preoperative diagnosis / K. Ishizu. // Hinyokika Kiyo. Mar 2019;
45(3):203
10. Sato N. Clinical study on 16 cases of testicular torsion / N.Sato, Z.Lee,
M.Fujita // Hinyokika Kiyo. 2019 Nov; 35(l 1): 1877-80.
