Fitzgerald S W, Erickson S, DeWire D M, Foley W D, Lawson T L, Begun F P, Lawson R K
Department of Radiology, Northwestern University Medical School, Chicago, IL.
J Ultrasound Med. 1992 Oct;11(10):543-8. doi: 10.7863/jum.1992.11.10.543.
Color Doppler sonography (CDS) was used to evaluate 35 adult males with acute scrotal discomfort. Correlative nuclear scintigraphy was performed in 15 patients. Surgical correlation was available in 10 patients with clinical follow-up in the remaining 25. The complete absence of intratesticular color flow was used as our criterion for testicular ischemia. This was found to be 100% sensitive and 100% specific in 8 patients with surgically confirmed testicular ischemia. Spontaneous detorsion was noted in one patient with hyperemia demonstrated by color imaging. Increased color flow was found in 20 patients with the clinical impression of scrotal inflammation. Nuclear scintigraphy and color Doppler imaging had 100% agreement in 15 patients. Color Doppler sonography is a useful and highly accurate diagnostic method in the evaluation of patients with the acute scrotal syndrome. Color flow imaging is comparable to nuclear scintigraphy in the diagnosis of testicular ischemia.
彩色多普勒超声检查（CDS）用于评估35例有急性阴囊不适的成年男性。15例患者进行了相关的核素扫描。10例患者有手术对照，其余25例有临床随访。睾丸内完全无血流信号被用作我们诊断睾丸缺血的标准。在8例经手术证实为睾丸缺血的患者中，该标准的敏感性和特异性均为100%。1例患者彩色成像显示有充血，出现了自发性睾丸扭转。20例临床诊断为阴囊炎的患者发现血流信号增加。15例患者核素扫描和彩色多普勒成像结果完全一致。彩色多普勒超声检查在评估急性阴囊综合征患者时是一种有用且高度准确的诊断方法。在诊断睾丸缺血方面，彩色血流成像与核素扫描相当。
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