关晏星,杨晓青,张青,陈卫民,冯亮,周爱云,朱剑芳,袁新春,陈莉,欧阳军,熊立跃,龚晓红.核素血流灌注显像和B超诊断腹股沟隐睾的对比[J].中国医学影像技术,2004,20(6):919~921
核素血流灌注显像和B超诊断腹股沟隐睾的对比
Comparative study on B-type ultrasonography and testicular blood perfusion imaging in diagnosis of impalpable undescended testis
  
DOI:
中文关键词:  腹股沟  隐睾  B超检查  睾丸  血液灌注
英文关键词:Groin  Cryptorchidism  B- type ultrasonography  Testis  Hemoperfusion
基金项目:
作者单位
关晏星 江西医学院第一附属医院核医学科,江西 南昌 330006 
杨晓青 江西医学院第一附属医院核医学科,江西 南昌 330006 
张青 江西医学院第一附属医院核医学科,江西 南昌 330006 
陈卫民 江西医学院第一附属医院泌尿外科,江西 南昌 330006 
冯亮 江西医学院第一附属医院泌尿外科,江西 南昌 330006 
周爱云 江西医学院第一附属医院超声科,江西 南昌 330006 
朱剑芳 江西医学院第一附属医院超声科,江西 南昌 330006 
袁新春 江西医学院第一附属医院超声科,江西 南昌 330006 
陈莉 江西医学院第一附属医院超声科,江西 南昌 330006 
欧阳军 江西医学院第一附属医院核医学科,江西 南昌 330006 
熊立跃 江西医学院第一附属医院核医学科,江西 南昌 330006 
龚晓红 江西医学院第一附属医院核医学科,江西 南昌 330006 
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中文摘要:
      目的 探讨核素睾丸血流灌注显像诊断腹股沟隐睾的诊断价值,并与超声检查结果比较。方法 45例未能触及型隐睾患者,术前分别行核素睾丸血流灌注显像和B超检查,术后与病理检查结果对照,比较两组结果。另10例正常对照者行睾丸血流灌注显像。结果 核素显像及B超对腹股沟隐睾诊断的灵敏度分别为91%和53%,准确率分别为93%和62%,两者均有极显著性差异(P<0.01)。核素显像和B超检查诊断腹股沟隐睾与病理诊断的阴性符合率分别为90%和33%,两者有显著性差异(P<0.05), 阳性符合率分别为93%和100%,两者未见显著性差异(P>0.05)。结论 睾丸血流灌注显像可作为继B超之后诊断腹股沟隐睾的有效检查方法。
英文摘要:
      Objective To evaluate the diagnostic value of testicular blood perfusion imaging of impalpable undescended testis. Methods Before surgery, 45 patients with impalpable undescended testis were studied with B-type ultrasonography and radionuclide testicular blood perfusion image. All results were compared with pathological finding. Results The sensitivity were 53% for B-type ultrasonography and 91% for radionuclide image,respectively.The accuracy were 62% for B-type ultrasonography and 93% for radionuclide image, respectively, they were all significantly different (P<0.01). The positive coincident rate with pathological finding were 100% for B-type ultrasonography and 93% for radionuclide image, respectively, they are not significantly different (P>0.05).The negative coincident rate were 33% for B-type ultrasonography and 90% for radionuclide imaging,respectively, they were significantly different (P<0.05). Conclusion Testicular blood perfusion imaging should be considered as the first choice for preoperative localization of groin undescended testis when there is an unclear result on the B-type ultrasonograhy for it.
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