The value of ultrasound in the treatment of chronic epididymitis / 中国医师进修杂志

ABSTRACT

Objective To observe the changes of ultrasound image before and after treatment and in order to provide the reference for clinical diagnosis.Methods Seventy-eight chronic epididymitis patients who treated with traditional Chinese medicine and western medicine from January 2007 to February 2009were enrolled in this study.They were given oral sparfloxacin tablets as 3 tablets once a day,at the same time,Danhong Tongjing decoction were given 1 dose/d,boiling water decoction,to take medicine morning and evening.Clinical effectiveness was observed after treated for 30 d.The epididymal size,internal echo intensity,resistance index(RI) of blood flow,maximum and minimum blood flow (Vmax,and Vmin),the ratio of systolic blood pressure and diastolic blood pressure (S/D) and blood flow changes of color Doppler flow imaging (CDFI) were detected before treatment,treatment for 15 d,and after treatment.Results Fifty patients were cured,20 patients were better and 8 patients had no effectiveness.In cured and better patients,the epididymal size,Vmax and Vmin,RI and S/D at treatment for 15 d and after treatment were significantly improved compared with before treatment [the epididymal sizethe thickness of tail(1.14 ± 0.19),(0.75 ±0.13) cm vs.(1.68 ± 0.25) cm; the thickness of body(0.54 ± 0.17),(0.46 ± 0.11) cm vs.(0.63 ± 0.12)cm; the thickness of head(1.12 ±0.16),(0.80 ±0.15) cm vs.(1.53 ±0.27) cm;Vmax(0.22 ±0.12),(0.19 ± 0.10) m/s vs.(0.28 ± 0.13) m/s;Vmin(0.14 ± 0.05),(0.07 ± 0.02) m/s vs.(0.19 ± 0.08) m/s;RI0.64 ±0.13,0.52 ±0.10 vs.0.89 ±0.17;S/D3.64 ±1.40,2.78 ±1.26 vs.4.35 ±1.62] (P ＜0.05).Conclusions Color Doppler ultrasound can accurately detect the significant changes before and after treatment in patients with chronic epididymitis,such as epididymal size,internal echo intensity,RI,Vmax,Vmin,S/D and grade of blood flow,which can provide information for prognosis,and guide the clinical treatment.It has important application value in the diagnosis and treatment of chronic epididymitis.