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 |
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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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