2008 94 2008-2007 resistive index % resistive index · 2010-11-21 · diagnosis of epididymitis as...
TRANSCRIPT
١٨٣
Tishreen University Journal for Research and Scientific Studies - Medical Sciences Series Vol. (30) No. ( ) 2008
2008
��
2008-200794
%
%Resistive Index
50%67,74%
Resistive Index
Generated by Foxit PDF Creator © Foxit Softwarehttp://www.foxitsoftware.com For evaluation only.
١٨۴
Tishreen University Journal for Research and Scientific Studies - Medical Sciences Series Vol. (30) No. ( ) 2008
Sonographic Findings in Epididymitis
Dr. Rafiq Sarheel
Dr. Khudar Reslan** Mohammad Reza Hamidani***
(Received 3 / 6 / 2008. Accepted 6/8/2008)
� ABSTRACT �
The study was conducted on 94 patients expected to have epididymitis at Al-Assad Hospital in Latakia (2007-2008). The aim was to highlight the role of ultrasound in the diagnosis of epididymitis as a safe, easy, fast, and cheap means of diagnosis. Epididymitis was confirmed by sonography in 62 patients based on the following criteria: epididymal enlargement (91.94%), heterogeneous echogenicity of epididymitis (79.03%), scrotal wall thickening (59.68%), associated hydrocele (24.19%), epididymal hyperemia (95.6%), and the resistive index was less than 0.50 (96.77%). It is noticed that epididymitis occurs mostly in 35-60-year old men (50%) and among the married people (67.74%). The study showed that Gray-scale, Color, and Pulsed Doppler sonography (using RI) have an essential and important role in the early diagnosis of epididymitis and its differentiation from the other scrotal lesions especially testicular torsion. Keywords: epididymitis/ Resistive Index (RI)
* Assistant professor, department of Radiology, Faculty of Medicine, Tishreen University, Lattakia,
Syria ** Associate professor, department of Urological Surgery, Faculty of Medicine, Tishreen University-Lattakia- Syria ***Postgraduate student, department of Radiology, Faculty of Medicine, Tishreen University, Lattakia, Syria
Generated by Foxit PDF Creator © Foxit Softwarehttp://www.foxitsoftware.com For evaluation only.
Tishreen University Journal. Med. Sciences Series
١٨۵
epididymo-orchitis isolated orchitis
David Rickards and Simon Jones
Generated by Foxit PDF Creator © Foxit Softwarehttp://www.foxitsoftware.com For evaluation only.
١٨۶
.
2007-2008
94/
62/
MAY LAB 50 )
7,5
,
Generated by Foxit PDF Creator © Foxit Softwarehttp://www.foxitsoftware.com For evaluation only.
Tishreen University Journal. Med. Sciences Series
١٨٧
22,34%
10,64%1,06%
1
94 21101
100% 65,96% 22,34%10,64%1,06
2
1516353660
62526 31
8,0641,94 50%
41,94%
8,06%Myron A.Pozniac
Carol M. Rumack
Generated by Foxit PDF Creator © Foxit Softwarehttp://www.foxitsoftware.com For evaluation only.
١٨٨
67,74%32,26%
6242 20
67,7432,26
3
91,94%79,03%
59,68%4,84%9,68%
9,68%24,19%
4
49365737
79,034,849,6891,9459,6824,19 9,68
95,16%
3,23%1,61%
5
625921
100% 95,163,231,61
Generated by Foxit PDF Creator © Foxit Softwarehttp://www.foxitsoftware.com For evaluation only.
Tishreen University Journal. Med. Sciences Series
١٨٩
0,596,77%0,53,23%
0,550%
Myron A.Pozniak
RI
0,5
RI
0,5
62 60 2
100% 96,77% 3,23%
0,5
7
RI<0,5RI0,5<
6260259030
100%96,77 3,2395,1604,84 0
1001005 05
100%0100%050%050%
Generated by Foxit PDF Creator © Foxit Softwarehttp://www.foxitsoftware.com For evaluation only.
١٩٠
8
RI<0,5
6249575960
100%79,0391,9495,1696,77
PETER T.K.CHANvikram VIKRAM S.DOGRADOGRA VS
1
2
Generated by Foxit PDF Creator © Foxit Softwarehttp://www.foxitsoftware.com For evaluation only.
Tishreen University Journal. Med. Sciences Series
١٩١
3
4
Generated by Foxit PDF Creator © Foxit Softwarehttp://www.foxitsoftware.com For evaluation only.
١٩٢
5
6
Generated by Foxit PDF Creator © Foxit Softwarehttp://www.foxitsoftware.com For evaluation only.
Tishreen University Journal. Med. Sciences Series
١٩٣
0.5
35
0,5O90%
Generated by Foxit PDF Creator © Foxit Softwarehttp://www.foxitsoftware.com For evaluation only.
١٩۴
1-CAROL M. RUMACK,STEPHANIE R.WILSON,J.WILLIAM CHARBONEAU ; associate editor Jo-Ann M.Johnson Diagnostic Ultrasound-Third edition ,2005,849-888.
2-DAVID SUTTON. Textbook of radiology and imaging-Sixth edition. David Rickards and Simon Jones with acontribution from E.Rhys Davies/the scrotum,testes ,and penis/.1998 ,1197-1203.
3-PAUL L.ALLAN,PAUL A.DUBBINS,MYRON A.POZNIAK,W.NORMAN MC DICKEN Clinical Doppler Ultrasound,2000, (223-236).
4-PETER T.K.CHAN AND PTER N. SCHLEGEL.Inflammatory Conditions of the Male Excurrent Ductal System. Part 1.Journal of Andrology, Vol.23,No.4, July/August. American Society of Andrology2002/453-460/.
5-VIKRAM S.DOGRA,RONALD H.GOTTLIEB, MAY OMI OKA, DEBORAH J.RUBENS. Sonography of the Scrotum. Radiology:Vol227.Number 1,2003,/18-36/.
6-DOGRA VS/RUBBES DJ. GOTTIEB RH; Torsion and beyond;new twists in spectral Doppler evaluation of the scrotum. J Ultrasound Med Aug;23(8); 2004,1077-88 [Medline ]
Generated by Foxit PDF Creator © Foxit Softwarehttp://www.foxitsoftware.com For evaluation only.