摘要
目的评价放射性核素阴囊显像用于鉴别急性睾丸蒂扭转和急性睾丸附睾炎的临床应用价值。方法对４９例主诉急性阴囊疼痛患者的核素阴囊显像结果进行临床分析，并与超声检查结果相比较。“弹丸”式静脉注射Ｎａ９９ＴｃｍＯ４后，分别行动态和静态采集，得到睾丸血流灌注像和静态血池像。结果阴囊显像患侧阴囊放射性分布呈扭转表现的３７例患者中，经临床手术证实为睾丸蒂扭转者３５例，余２例为患侧腹股沟斜疝；３５例确诊为扭转者超声检查仅诊断１７例。阴囊显像患侧阴囊放射性分布呈炎症表现的１２例患者中，经保守治疗，临床随访证实全为睾丸附睾炎症，而超声检查仅诊断８例。结论核素阴囊显像诊断急性阴囊疼痛原因明显优于超声检查，具有简单、快速、准确、无创伤性等优点；
Objective To evaluate the value of testicular scintigraphy in differentiating the acute testicular torsion and the acute orchiepididymitis Methods In this report, 49 cases with acute scrotal pain were examined with testicular emergency scintigraphy and also with ultrasonography for comparison Results Of 37 cases with decreased radioactivity in the abnormal side scrotum, 35 cases were with surgically diagnosed testicular torsion while the rest 2 cases with indirect inguinal hernia Only 17 cases were correctly diagnosed with ultrasonography in the 35 cases with testicular torsion The 12 cases with increased radioactivity in the abnormal side scrotum were all diagnosed as orchiepididymitis through conservative treatment and clinical follow up, but only 8 of the 12 cases were correctly diagnosed by ultrasonography Conclusions In diagnosing the acute scrotal pain, the radioisotope imaging has an obvious advantage over ultrasonography It also possesses the advantages as being simple, fast, accurate and with no detriment to human body
出处
《中华核医学杂志》
CAS
CSCD
北大核心
1999年第2期100-102,共3页
Chinese Journal of Nuclear Medicine
关键词
精索扭转
睾丸炎
附睾炎
放射性核素显像
阴囊
Spermatic cord torsion Orchitis Epididymitis Acute disease Radionuclide imaging
