彩色多普勒血流成像在精索扭转诊断及鉴别诊断中的应用评估
[Evaluation of color Doppler flow imaging in the diagnosis and differential diagnosis of spermatic cord torsion].
作者信息
Zhou Shui-Gen, Meng Qing-Xin, Zhang Zheng-Yu, Wang Lian, Gao Jian-Ping
机构信息
Department of Urology, Nanjing General Hospital, Nanjing Command, PLA, Nanjing, Jiangsu 210002, China.
出版信息
Zhonghua Nan Ke Xue. 2003 Oct;9(7):512-4.
OBJECTIVE
To distinguish spermatic cord torsion from acute orchitis by color Doppler flow imaging (CDFI).
METHODS
Thirteen patients with acute orchialgia were examined by CDFI. The clinical data of diagnosis and treatment were reviewed and analyzed.
RESULTS
The findings of CDFI showed lower or even no blood flow in the testes in 8 cases, which were diagnosed as spermatic cord torsion. Among them, 1 received manual detorsion and 7 were proved by operations. The other 5 showed abundant blood flow signal in the testes and were diagnosed as acute orchitis or epididymo-orchitis. After the use of antibiotics, their symptoms were relieved and the blood flow of the testes reduced upon reexamination.
CONCLUSIONS
CDFI plays an important role in the diagnosis and differential diagnosis of spermatic cord torsion, and could be regarded as a detecting method of first choice for patients of acute orchialgia.
目的
通过彩色多普勒血流成像（CDFI）鉴别精索扭转与急性睾丸炎。
方法
对13例急性睾丸疼痛患者进行CDFI检查。回顾并分析其诊断和治疗的临床资料。
结果
CDFI检查结果显示，8例患者睾丸血流减少甚至无血流，诊断为精索扭转。其中1例接受手法复位，7例经手术证实。另外5例睾丸血流信号丰富，诊断为急性睾丸炎或附睾炎。使用抗生素后，症状缓解，复查时睾丸血流减少。
结论
CDFI在精索扭转的诊断及鉴别诊断中起重要作用，可作为急性睾丸疼痛患者的首选检测方法。
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