不必要的诊断性影像学检查：关于隐睾症男孩术前影像学检查的文献综述
Unnecessary diagnostic imaging: a review of the literature on preoperative imaging for boys with undescended testes.
作者信息
Hartigan Siobhán, Tasian Gregory E
机构信息
1 Department of Surgery, Division of Urological Surgery, Perelman School of Medicine at The University of Pennsylvania, Philadelphia, PA, USA ; 2 Division of Pediatric Urology, 3 Center for Pediatric Clinical Effectiveness, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
出版信息
Transl Androl Urol. 2014 Dec;3(4):359-64. doi: 10.3978/j.issn.2223-4683.2014.11.05.
Cryptorchidism or undescended testis is one of the most common pediatric disorders of the male endocrine glands and the most common genital disorder identified at birth. Ultrasound is commonly ordered for boys with undescended testes prior to referral to a surgical specialist, but its sensitivity and specificity is insufficient to reliably localize non-palpable testes and thus confers unnecessary costs to the patient and the healthcare system. We review the ability of ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) to reliably locate undescended testes and emphasize whether diagnostic imaging should change the decision to operate or the surgical approach for boys with cryptorchidism.
隐睾症或睾丸未降是男性内分泌腺最常见的儿科疾病之一，也是出生时发现的最常见的生殖系统疾病。在转诊给外科专家之前，通常会对睾丸未降的男孩进行超声检查，但其敏感性和特异性不足以可靠地定位无法触及的睾丸，从而给患者和医疗系统带来不必要的费用。我们回顾了超声、计算机断层扫描（CT）和磁共振成像（MRI）可靠定位隐睾的能力，并强调诊断成像是否应改变对隐睾症男孩的手术决策或手术方法。
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