Stoller M L, Kogan B A, Hricak H
Pediatrics. 1985 Dec;76(6):929-33.
To distinguish spermatic cord torsion from other intrascrotal pathology, scrotal ultrasound and radionuclide scanning have been highly recommended on the basis of both clinical and experimental studies. We review the data from six patients in whom ultrasound or nuclear medicine examination was misleading. We emphasize that history, physical examination, and urinalysis remain the cornerstones of the diagnosis of spermatic cord torsion. Scrotal ultrasound and nuclear medicine scans are useful adjuncts and are reassuring when in agreement with the clinical picture. However, they are not 100% sensitive or specific, and a negative study should not prevent emergency operative exploration of a clinically suspicious lesion.
为了将精索扭转与其他阴囊内病变区分开来，基于临床和实验研究，强烈推荐进行阴囊超声和放射性核素扫描。我们回顾了6例患者的数据，这些患者的超声或核医学检查结果产生了误导。我们强调，病史、体格检查和尿液分析仍然是精索扭转诊断的基石。阴囊超声和核医学扫描是有用的辅助手段，当与临床表现相符时可让人放心。然而，它们并非100%敏感或特异，阴性检查结果不应妨碍对临床上可疑病变进行急诊手术探查。
