Kitami Masahiro
Department of Diagnostic Radiology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Ultrasonography. 2017 Jul;36(3):222-238. doi: 10.14366/usg.17011. Epub 2017 Mar 30.
Urogenital emergencies are fairly common in the pediatric population, and a timely and correct diagnosis is necessary to avoid possible future infertility. In this field, ultrasonography is essential, as it has the advantages of being radiation-free and readily accessible. In particular, a high-frequency transducer allows precise evaluation of the morphology and vascularity of the scrotum, which is on the surface of the body. Beyond conventional techniques, new advanced imaging techniques have been developed, including elastography and contrast-enhanced ultrasonography. However, several pitfalls remain in the diagnosis of urogenital diseases using ultrasonography. Thus, accurate knowledge and sufficient experience with the technique are essential for making a correct diagnosis. This review provides an overview of pediatric urogenital emergency pathologies and recent ultrasonography techniques.
泌尿生殖系统急症在儿科人群中相当常见,及时、正确的诊断对于避免未来可能出现的不孕不育至关重要。在这一领域,超声检查至关重要,因为它具有无辐射且易于获取的优点。特别是,高频探头能够精确评估位于体表的阴囊的形态和血管情况。除了传统技术外,还开发了新的先进成像技术,包括弹性成像和超声造影。然而,使用超声检查诊断泌尿生殖系统疾病仍存在一些陷阱。因此,对该技术有准确的认识和足够的经验对于做出正确诊断至关重要。本综述概述了儿科泌尿生殖系统急症病理以及最新的超声检查技术。