[Evaluation of color Doppler flow imaging in the diagnosis and differential diagnosis of spermatic cord torsion].
OBJECTIVE
To distinguish spermatic cord torsion from acute orchitis by color Doppler flow imaging (CDFI).


METHODS
Thirteen patients with acute orchialgia were examined by CDFI. The clinical data of diagnosis and treatment were reviewed and analyzed.


RESULTS
The findings of CDFI showed lower or even no blood flow in the testes in 8 cases, which were diagnosed as spermatic cord torsion. Among them, 1 received manual detorsion and 7 were proved by operations. The other 5 showed abundant blood flow signal in the testes and were diagnosed as acute orchitis or epididymo-orchitis. After the use of antibiotics, their symptoms were relieved and the blood flow of the testes reduced upon reexamination.


CONCLUSIONS
CDFI plays an important role in the diagnosis and differential diagnosis of spermatic cord torsion, and could be regarded as a detecting method of first choice for patients of acute orchialgia.
Zhou
Shui-Gen
SG
Department of Urology, Nanjing General Hospital, Nanjing Command, PLA, Nanjing, Jiangsu 210002, China.
Meng
Qing-Xin
QX
Zhang
Zheng-Yu
ZY
Wang
Lian
L
Gao
Jian-Ping
JP
D000293:Adolescent; D000328:Adult; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D009920:Orchitis / Q000000981:diagnostic imaging; D013086:Spermatic Cord Torsion / Q000000981:diagnostic imaging*; D013737:Testis / Q000098:blood supply / Q000000981:diagnostic imaging; D018615:Ultrasonography, Doppler, Color / Q000379:methods*