Allen T D, Elder J S
Division of Pediatric Urology, University of Texas Southwestern Medical Center, Dallas, USA.
J Urol. 1995 Oct;154(4):1508-10.
We determined the shortcomings of color Doppler sonography for the diagnosis of testicular torsion.
We reviewed 5 cases of testicular torsion in which findings on color Doppler sonography were inconsistent with surgical findings.
Color Doppler sonography showed blood flow in 2 patients who had necrotic testes at surgery. In 3 other patients blood flow was also normal by color Doppler sonography of whom 2 were treated for epididymitis with subsequent loss of the testes and 1 underwent salvage by immediate exploration.
Testicular torsion is a clinical diagnosis requiring consideration of many variables. Color Doppler sonography is helpful but should not be regarded as the definitive discriminator.
我们确定了彩色多普勒超声诊断睾丸扭转的不足之处。
我们回顾了5例睾丸扭转病例，其中彩色多普勒超声检查结果与手术结果不一致。
在2例手术中睾丸已坏死的患者中，彩色多普勒超声显示有血流信号。另外3例患者经彩色多普勒超声检查血流也正常，其中2例按附睾炎治疗，随后睾丸丧失功能，1例通过立即探查得以挽救。
睾丸扭转是一种需要考虑多种变量的临床诊断。彩色多普勒超声有帮助，但不应被视为决定性的鉴别方法。
