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[儿童睾丸的多普勒超声检查。重要性、适应证、局限性。附90例报告]

[Testicular exploration by Doppler ultrasonography in children. Importance, indications, limitations. Apropos of 90 cases].

作者信息

Valla J S, Kurzenne J Y, Bastiani F, Hassen-Khadja R, Benchimol D, Grinda A

出版信息

Chir Pediatr. 1985;26(6):351-5.

PMID:3913534
Abstract

The authors evaluate the testicular blood flow by Doppler stethoscope in 90 infants and children; they tell two indications: In emergency the most common is "acute scrotal swelling": 78 cases, 4 false negative are reported in diagnosis of torsion of the spermatic cord; the limit of the Doppler examination are the possibility of a interepididymo-testicular torsion and, above all, the inflammation of the scrotal wall. If Doppler examination are in agreement, unnecessary surgical explorations must be avoided. Outside emergency, Doppler examination may be help-full to evaluate varicocele and to control some surgical operation involving spermatic cord (12 cases).

摘要

作者使用多普勒听诊器对90例婴幼儿和儿童的睾丸血流进行了评估;他们指出了两种应用情况:在急诊中,最常见的是“急性阴囊肿胀”:78例,在精索扭转诊断中报告有4例假阴性;多普勒检查的局限性在于存在附睾-睾丸间扭转的可能性,最重要的是阴囊壁炎症。如果多普勒检查结果一致,必须避免不必要的手术探查。在非急诊情况下,多普勒检查可能有助于评估精索静脉曲张,并用于监测一些涉及精索的手术(12例)。

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