Lerner R M, Mevorach R A, Hulbert W C, Rabinowitz R
Department of Radiology, University of Rochester Medical Center, NY 14642.
Radiology. 1990 Aug;176(2):355-8. doi: 10.1148/radiology.176.2.2195590.
Twenty-seven patients presented with painful acute scrotal swelling. After a clinical impression was established, all patients underwent diagnostic imaging with color Doppler ultrasound (US). Seven patients underwent surgical exploration for testicular torsion diagnosed with color Doppler US (100% operative confirmation), one underwent radical orchiectomy for treatment of seminoma, and one underwent orchidopexy for treatment of a freely mobile testis. Eighteen patients were treated for nonoperable conditions. Diagnoses made with color Doppler US correlated with final clinical diagnoses in all patients. In 10 of 27 patients (38%), the diagnosis was established at color Doppler US. Until now, nuclear scanning has had a paramount role in the evaluation of equivocal cases of acute scrotal disease. Results show that color Doppler US helps accurately correlate anatomy and perfusion in real time and may prove to be the definitive imaging technique for the diagnostic evaluation of acute scrotal pain or swelling.
27例患者出现疼痛性急性阴囊肿胀。在确立临床诊断后，所有患者均接受了彩色多普勒超声（US）诊断成像检查。7例经彩色多普勒超声诊断为睾丸扭转的患者接受了手术探查（手术确诊率100%），1例因精原细胞瘤接受了根治性睾丸切除术，1例因睾丸可自由活动接受了睾丸固定术。18例患者因病情无法手术而接受了相应治疗。彩色多普勒超声做出的诊断与所有患者的最终临床诊断相符。27例患者中有10例（38%）通过彩色多普勒超声确诊。到目前为止，核扫描在急性阴囊疾病疑难病例的评估中一直起着至关重要的作用。结果表明，彩色多普勒超声有助于实时准确地关联解剖结构和血流灌注情况，可能会成为诊断评估急性阴囊疼痛或肿胀的决定性成像技术。
