【摘要】 目的 探討超聲動態觀察流行性腮腺炎合并睪丸炎的診斷和預后價值。 方法 回顧性分析2008年10月-2010年12月53例流行性腮腺炎合并睪丸炎治療前后的聲像圖特征和臨床治療效果。 結果 全部患者均有腮腺、頜下腺、睪丸、附睪不同程度長大，而腮腺、頜下腺以單側長大為主，睪丸及附睪長大多以單側為主；53例腮腺炎合并睪丸炎經臨床治療15~20 d后，腮腺、睪丸腫痛及自覺癥狀消失，聲像圖恢復正常40例，聲像圖基本恢復正常13例。治療出院后全部患者均獲得遠期超聲觀察隨訪，分別于出院后3~4個月及4~6個月觀察聲像圖均為正常。 結論 超聲動態觀察流行性腮腺炎合并睪丸炎在治療前后聲像圖的改變對其診斷和預后有重要的價值。【Abstract】 Objective To investigate the diagnostic and prognostic value of ultrasonic inspection on epidemic parotitis accompanied by orchitis through observing ultrasonic image changes of the disease before and after treatment. Methods We retrospectively analyzed the ultrasonographic features before and after treatment, and the clinical treatment results of 53 patients with epidemic parotitis accompanied by orchitis between October 2008 and December 2010. Results All patients had different level of increment in their parotid gland, submaxillay gland, testicle or epididymis. Most cases of the increment occurred to unilateral parotid gland and submaxillay gland on the same side, as well as unilateral testicle and unilateral epididymis. After clinical treatment for 15 to 20 days, parotid and testicular swelling and pain, and self-conscious symptoms disappeared. Forty patients returned to normal ultrasonic image, and the ultrasonic images of 13 other patients resumed normal basically. After being discharged, all patients were followed up and ultrasound observation was carried out which showed that 3 to 4 months or 4 to 6 months later, all ultrasonic images were normal. Conclusion Ultrasound dynamic observations before and after treatment have important values to the diagnosis and prognosis of epidemic parotitis accompanied by orchitis.
