Middleton W D, Siegel B A, Melson G L, Yates C K, Andriole G L
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO 63110.
Radiology. 1990 Oct;177(1):177-81. doi: 10.1148/radiology.177.1.2204963.
Color Doppler ultrasonography (US) and testicular scintigraphy were used prospectively to evaluate 28 patients with acute scrotal pain. The results of these imaging studies were correlated with final diagnoses established by means of surgery or clinical follow-up. In all patients, testicular torsion was considered to be a possible diagnosis based on findings from the initial clinical evaluation. Findings from surgery confirmed testicular torsion in seven patients. All cases were correctly diagnosed with color Doppler US. Scintigraphy enabled correct diagnosis of six, but findings were false-negative in one patient with 180 degrees torsion. One patient had a surgically confirmed scrotal abscess that was correctly diagnosed with both color Doppler US and scintigraphy. Findings from clinical follow-up in the remaining 20 patients were consistent with epididymitis, orchitis, or torsion of an appendix testis. There were no false-positive diagnoses of testicular torsion by means of either color Doppler US or scintigraphy in any of these 20 patients. Color Doppler US is at least as accurate as testicular scintigraphy and can function as an effective means of evaluating patients with suspected testicular torsion.
采用彩色多普勒超声检查（US）和睾丸闪烁扫描术对28例急性阴囊疼痛患者进行前瞻性评估。这些影像学检查结果与通过手术或临床随访确定的最终诊断结果相关。在所有患者中，根据初始临床评估结果，睾丸扭转被视为一种可能的诊断。手术结果证实7例患者存在睾丸扭转。所有病例通过彩色多普勒超声均被正确诊断。闪烁扫描术正确诊断出6例，但1例180度扭转患者的检查结果为假阴性。1例患者经手术证实为阴囊脓肿，彩色多普勒超声和闪烁扫描术均正确诊断出该病例。其余20例患者的临床随访结果与附睾炎、睾丸炎或睾丸附件扭转相符。在这20例患者中，彩色多普勒超声或闪烁扫描术均未出现睾丸扭转的假阳性诊断。彩色多普勒超声至少与睾丸闪烁扫描术一样准确，可作为评估疑似睾丸扭转患者的有效手段。
