小儿急性阴囊的彩色多普勒成像

Colour Doppler imaging of the acute paediatric scrotum.

作者信息

Hollman A S, Ingram S, Carachi R, Davis C

机构信息

Department of Radiology, Royal Hospital for Sick Children, Glasgow, Scotland, UK.

出版信息

Pediatr Radiol. 1993;23(2):83-7. doi: 10.1007/BF02012390.

DOI:10.1007/BF02012390

PMID:8516049

Abstract

The differentiation of the causes of acute scrotal pathology by clinical means alone is prone to inaccuracy, resulting in inappropriate surgical exploration. Colour Doppler imaging (CDI) provides the facility to assess blood flow. Torsion of the testis impedes blood flow, whereas it is enhanced or normal in inflammatory pathology. We have investigated 40 cases of acute scrotal disease by means of CDI in which the radiologist performing the test was unaware of the preliminary clinical diagnosis. The clinical diagnostic accuracy was 60%, whereas the diagnostic accuracy of CDI was 82%. CDI provides an effective means of enhancing diagnostic accuracy.

摘要

仅通过临床手段来鉴别急性阴囊病变的病因往往不准确，从而导致不恰当的外科探查。彩色多普勒成像（CDI）提供了评估血流的便利。睾丸扭转会阻碍血流，而在炎症性病变中血流会增强或正常。我们通过CDI对40例急性阴囊疾病进行了研究，进行检查的放射科医生并不知晓初步的临床诊断。临床诊断准确率为60%，而CDI的诊断准确率为82%。CDI提供了一种提高诊断准确率的有效手段。