Japanese
Title急性陰のう疾患における陰のうシンチグラフィの有用性 - 特に精索捻転症と副睾丸炎の鑑別について -
Subtitle原著
Authors大塚信昭*, 福永仁夫*, 森田陸司*, 曽根照喜*, 斉藤典章**, 天野正道**, 田中啓幹**, 友光達志*, 柳元真一*, 村中明*
Authors(kana)
Organization*川崎医科大学核医学科, **泌尿器科
Journal核医学
Volume22
Number3
Page331-337
Year/Month1985/3
Article原著
Publisher日本核医学会
Abstract「要旨」最終診断の確定した各種陰のう疾患37例について99mTc-pertechnetateまたは99mTc-HSAによる陰のうシンチグラフィを施行し, 特に精索捻転症と副睾丸炎の鑑別における有用性を検討した. 精索捻転症の12例全例とも動脈相および静態相にて血流欠損を示した. 一方, 副睾丸炎8例では動脈相および静態相で血流増加を示すものが6例認められ, 残りの2例は正常血流であり, 精索捻転症と副睾丸炎の鑑別に本法は有用であることが認められた. さらにシンチグラフィと超音波ドプラー法の成績を比較した. シンチグラフィが精索捻転症12例全例を診断し得たのに対して, ドプラー法では罹患部に明らかな血流減少を示したものは7例中4例に過ぎず, 陰のうシンチグラフィの優越性が認められた.
Practice臨床医学:一般
KeywordsScrotal scintigraphy, Spermatic cord torsion, Epididymitis, 99mTcO4-, 99mTc-HSA
English
TitleThe Usefullness of Scrotal Scintigraphy in Acute Intra-scrotal Lesions - Special Reference to Differential Diagnosis of Spermatic Cord Torsion from Epididymitis -
SubtitleOriginal Articles
AuthorsNobuaki OTSUKA*, Masao FUKUNAGA*, Rikushi MORITA*, Teruki SONE*, Noriaki SAITO**, Masamichi AMANO**, Hiroyoshi TANAKA**, Tatsushi TOMOMITSU*, Shinichi YANAGIMOTO*, Akira MURANAKA*
Authors(kana)
Organization*Department of Nuclear Medicine, **Department of Urology, Kawasaki Medical School
JournalThe Japanese Journal of nuclear medicine
Volume22
Number3
Page331-337
Year/Month1985/3
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary] Scrotal scintigraphy using 99mTcO4- or 99mTc-HSA was performed on 37 cases with various of acute intra-scrotal lesion, and its usefulness in differential diagnosis of spermatic cord torsion from epididymitis was studied. All of 12 patients with spermatic cord torsion showed a perfusion defect on arterial and static phase. The other hand, six among eight patients with epididymitis showed the increased activity on both phases, and two patients showed the normal activity. Therefore, it was recognized that scrotal scintigraphy was useful in differential diagnosis of spermatic cord torsion from epididymitis. Furthermore, comparative study of scrotal scintigraphy and Doppler's ultra-sound method was done on 12 cases with spermatic cord torsion. Correct diagnosis could be done on 12 cases by scrotal scintigraphy and four cases out of seven cases by Doppler's method, respectively. These results indicate that the scrotal scintigraphy is superior to Doppler's method in diagnosis of spermatic cord torsion.
PracticeClinical medicine
KeywordsScrotal scintigraphy, Spermatic cord torsion, Epididymitis, 99mTcO4-, 99mTc-HSA

【全文PDF】