Sellem G, Tobelem G, Economou C, Amer M, Arvis G
Service d'Urologie-Andrologie, Hôpital Saint-Antoine, Paris.
Ann Urol (Paris). 1987;21(5):327-30.
We report a serial case study of 20 patients presenting scrotal contusions and for whom an emergency scrotal ultrasonography was performed. This investigation is not a luxury. It was a useful confirmation diagnostic tool for hematocele in 1/3 of cases (7/20) as well as for the detection of associated epididymal and or testicular lesions. In 2/3 of cases (13/20) it detected lesions unsuspected by clinical examination so that a therapeutic decision was taken promptly. Scrotal echography is therefore a useful emergency tool not for major trauma where the surgical decision is evident, but for apparently benign trauma where the clinical examination is currently deficient and needs provided a trained ultrasonography operator is available.
我们报告了一项对20例阴囊挫伤患者进行的系列病例研究，这些患者均接受了急诊阴囊超声检查。这项检查并非可有可无。它是三分之一病例（7/20）中血囊肿的有用确诊诊断工具，也是检测相关附睾和/或睾丸病变的工具。在三分之二的病例（13/20）中，它检测到了临床检查未怀疑的病变，从而能够迅速做出治疗决策。因此，阴囊超声检查是一种有用的急诊工具，不是用于手术决策明显的重大创伤，而是用于临床检查目前存在不足的明显良性创伤，前提是有训练有素的超声检查操作人员。
