[The use of ultrasonography in the acute scrotum edema in children].

Ultrasound dopplerography of testicles and high-frequency ultrasonography of the spermatic cord were used to increase the efficiency of diagnostics at the acute scrotum edema in children. The signs of testicular torsion are the thickening of the spermatic cord from 7 to 33 mm, its helical structure (like cochlea), decrease or the termination of a blood flow in the spermatic cord. The combination of sonographic signs testifies about testicular torsion without dependence from prescription of clinical manifestation of the disease. Not always it was possible to visualize the sessile hydatid separately from epididymis during procedure. But such indirect signs as expansion of the epididymis twice and its heterogeneity specified the sessile hydatid involvement. False-negative results of ultrasonography were received in third of all cases of testicular torsion. The given phenomenon was marked when intraorganic blood flow in testicles was defined with ultrasound at the beginning of disease. The further introduction of ultrasound dopplerography and high-frequency ultrasonography into clinical practice will allow to improve results of treatment of children with acute testicular diseases.

[Doppler study in the evaluation of results of varicocele treatment in teenagers]. / Dopplerografiia v otsenke rezul'tatov lecheniia varikotsele u podrostkov.

Results of treatment in 62 patients with varicocele were evaluated with anamnestic, physical and Doplerographic data. Recurrence of varicocele was seen after the Palomo surgery in 4.9% patients. Hydrocele reoccured after surgery in 2 teenagers. Doppler study revealed that 37.5% patients had orthostatic extravasal obstruction of the left renal vein in the aortomesenterial "forceps" (0.15 +/- 0.03 cm, p > 0.05) with a significant decrease in volumetric blood flow velocity by 44 +/- 30.01 ml/min. Postsurgical signs of venous renal hypertension were seen in 2 patients. Doppler ultrasound study more objectively evaluate long-term results of varicocele treatment.