磁共振成像对临床诊断不明确的阴茎骨折病例的作用。
Contribution of MRI to clinically equivocal penile fracture cases.
作者信息
Türkay Rüştü, Yenice Mustafa Gürkan, Aksoy Sema, Şeker Gökhan, Şahin Selçuk, İnci Ercan, Tuğcu Volkan, Taşcı Ali İhsan
机构信息
Department of Radiology, İstanbul Dr. Sadi Konuk Training and Research Hospital, İstanbul-Turkey.
出版信息
Ulus Travma Acil Cerrahi Derg. 2016 Nov;22(6):549-552. doi: 10.5505/tjtes.2016.50955.
BACKGROUND
Penile fracture is a surgical emergency defined as rupture of the tunica albuginea. Although most cases can be diagnosed with clinical evaluation, it has been stated in the literature that diagnosis in as many as 15% of cases can be challenging. In uncertain cases, imaging can help determine diagnosis.
METHODS
Present study included 20 cases where diagnosis could not be made with certainty and magnetic resonance imaging (MRI) was performed. MR images were examined for tunical rupture and accompanying pathologies. When rupture was observed, localization and length of rupture were noted. All patients underwent degloving surgery. All imaging findings were compared to surgical findings.
RESULTS
MRI revealed 19 tunical ruptures. In 1 case, hematoma was seen with no sign of penile fracture. No urethral injuries were found. All MRI findings were confirmed during surgery.
CONCLUSION
Performing MRI in clinically equivocal cases can provide crucial data to make precise diagnosis and improve patient management.
背景
阴茎骨折是一种外科急症，定义为白膜破裂。尽管大多数病例可通过临床评估确诊，但文献表明，多达15%的病例诊断可能具有挑战性。在不确定的病例中，影像学检查有助于明确诊断。
方法
本研究纳入20例无法确诊的病例，并进行了磁共振成像（MRI）检查。对MR图像进行白膜破裂及伴随病变的检查。观察到破裂时，记录破裂的位置和长度。所有患者均接受脱套手术。将所有影像学检查结果与手术结果进行比较。
结果
MRI显示19例白膜破裂。1例可见血肿，但无阴茎骨折迹象。未发现尿道损伤。所有MRI检查结果在手术中均得到证实。
结论
在临床诊断不明确的病例中进行MRI检查可为精确诊断和改善患者管理提供关键数据。
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