小儿急性阴囊的核素成像

Nuclear imaging in the pediatric acute scrotum.

作者信息

Valvo J R, Caldamone A A, O'Mara R, Rabinowitz R

出版信息

Am J Dis Child. 1982 Sep;136(9):831-5. doi: 10.1001/archpedi.1982.03970450073018.

DOI:10.1001/archpedi.1982.03970450073018

Abstract

The acute scrotum in the pediatric patient frequently presents a diagnostic dilemma for even the most experienced clinician. In an effort to improve testicular salvage in equivocal cases, immediate surgical intervention has been recommended, despite a large number of unnecessary explorations. Evaluating the sodium pertechnetate Tc 99m radioisotopic scan in 46 boys, we found this study to be a rapid, reliable, sensitive, and noninvasive test that allows the selection of those patients who require immediate surgical intervention.

摘要

小儿患者的急性阴囊问题，即便对于经验最丰富的临床医生而言，也常常带来诊断难题。为了在诊断不明确的病例中提高睾丸挽救率，尽管存在大量不必要的探查，但仍有人建议进行即时手术干预。通过对46名男孩进行锝99m高锝酸钠放射性同位素扫描评估，我们发现这项检查是一项快速、可靠、敏感且无创的检测方法，能够筛选出那些需要即时手术干预的患者。