Doepp M, Jarrar K, Nöske H D, Grebe S F, Rothauge C F
Rofo. 1978 Feb;128(2):185-90. doi: 10.1055/s-0029-1230822.
All publications dealing with tortion of the testis stress the difficulty of diagnosis and the frequency of errors. This has suggested to us the need to develop a radio-isotope testiculogram corresponding to the radioisotope nephrogram used for renal functional diagnosis. The substance for the timeactivity curve is 99mTc pertechnitate which is taken up by the tubular epithelium of the testis and epididymis. A scan at 20 minutes proved highly diagnostic and produced a small amount of radiation only. Six quantitative parameters described the shape of the curve. These have been determined for the normal and related to age and point of measurement. It is then possible to differentiate partial and total tortion from acute epididymoorchitis. It is no longer necessary to subject every patient with acute testicular disease to surgery. With partial tortion, a conservative operation with fixation of the testis can be recommended instead of semicastration.
所有关于睾丸扭转的出版物都强调了诊断的困难和误诊的频率。这使我们想到有必要开发一种与用于肾功能诊断的放射性同位素肾图相对应的放射性同位素睾丸造影。用于时间-活性曲线的物质是高锝[99mTc]酸盐，它被睾丸和附睾的肾小管上皮摄取。20分钟时的扫描显示出高度的诊断价值，且仅产生少量辐射。六个定量参数描述了曲线的形状。这些参数已针对正常情况确定，并与年龄和测量点相关。这样就有可能将部分扭转和完全扭转与急性附睾睾丸炎区分开来。不再需要对每一位患有急性睾丸疾病的患者进行手术。对于部分扭转，可以建议进行睾丸固定的保守手术，而不是半侧睾丸切除术。
