ACCURACY OF ULTRASOUND DIAGNOSIS AFTER BLUNT TESTICULAR TRAUMA

被引：40

作者：

CORRALES, JG ^{[1
]}

CORBEL, L ^{[1
]}

CIPOLLA, B ^{[1
]}

STAERMAN, F ^{[1
]}

DARNAULT, P ^{[1
]}

GUILLE, F ^{[1
]}

LOBEL, B ^{[1
]}

机构：

[1] HOP PONTCHAILLOU,DEPT ULTRASONOG,RENNES,FRANCE

来源：

JOURNAL OF UROLOGY | 1993年 / 150卷 / 06期

关键词：

WOUNDS AND INJURIES; TESTIS; ULTRASONIC DIAGNOSIS;

D O I：

10.1016/S0022-5347(17)35909-8

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The aim of this study is to determine the value of ultrasound evaluation for the diagnosis of testis rupture due to blunt scrotal trauma. We reviewed 16 operated cases of blunt scrotal trauma with hematocele, which were evaluated by ultrasound preoperatively. In 2 cases a tunica albuginea rupture was correctly diagnosed by ultrasonography but there were 2 false-positive and 5 false-negative diagnoses of rupture. Systematic exploration of the 16 cases revealed testicular rupture in 7, simple hematocele in 7 and hematocele associated with spermatic cord injury in 2. In 2 cases orchiectomy was necessary. From our experience the accuracy rate of ultrasound evaluation of blunt scrotal trauma was 56%, with a 58% negative predictive value. Considering these results, ultrasound examination of blunt scrotal trauma with hematocele is not sufficiently accurate to eliminate surgical exploration and, therefore, we recommend early surgical exploration as primary therapy in these cases.

引用

页码：1834 / 1836

页数：3

共 22 条

[1]

Wasko R., Goldstein A.G., Traumatic rupture of the testicle, J. Urol., 95, (1966)

[2]

Ashkar L.N., Schreck W.R., Traumatic rupture of the testis and epididymis, J. Urol., 99, (1968)

[3]

Del Villar R.G., Ireland G.W., Cass A.S., Early exploration following trauma to the testicle, J. Trauma, 13, (1973)

[4]

Merricks J.W., Papierniak F.B., Traumatic rupture of the testicle, J. Urol., 103, (1970)

[5]

Atwell J.D., Ellis H., Rupture of the testis, Brit. J. Surg., 49, (1961)

[6]

Gross M., Rupture of the testicle: the importance of early surgical treatment, J. Urol., 101, (1969)

[7]

Cass A.S., Luxenberg M., Testicular injuries, Urology, 37, (1991)

[8]

Anderson K.A., McAninch J.W., Jeffrey R.B., Laing F.C., Ultrasonography for the diagnosis and staging of blunt scrotal trauma, J. Urol., 130, (1983)

[9]

Cass A.S., Testicular trauma, J. Urol., 129, (1983)

[10]

Vaccaro J.A., Davis R., Belville W.D., Kiesling V.J., Traumatic hematocele: association with rupture of the testicle, J. Urol., 136, (1986)

← 1 2 3 →