PDF(Pubmed)
Abstract：
Scrotal thermography is a diagnostic method for varicocele. In short, there are five diagnostic thermographic criteria for varicocele, i.e., pattern of scrotal thermographic image indicative of varicocele, temperature at pampiniform plexus ≥34 C°, temperature difference between left and right pampiniform plexus ≥0.5 C°, enhancement of image during Valsalva maneuver, and temperature at pampiniform plexus ≥ temperature at ipsilateral thigh. Three or more positive signs are indicative of varicocele. The aim of this report is to present the use of digital thermography as a diagnostic method to evaluate the outcome of varicocele repair. We present a case of a student diagnosed with varicocele grade III, and assessed preoperatively and followed up postoperatively by scrotal thermography. According to thermographic indicators, our patient was positive for varicocele diagnosis before surgical treatment. Three months after varicocele repair, the patient did not show positive thermographic indicators of varicocele while physical examination and color Doppler ultrasound were equivocal. This case report suggests that infrared digital thermography of scrotum could be very valuable for monitoring patients in the period after surgery for varicocele, however, it should be confirmed in a larger number of patients.
摘要：
阴囊热成像是一种精索静脉曲张的诊断方法。总之,精索静脉曲张有五种诊断热像标准,即，指示精索静脉曲张的阴囊热像图，Pampiniform丛温度≥34℃，左右斑状神经丛温差≥0.5C°,Valsalva机动期间的图像增强，并且在盘状神经丛的温度≥同侧大腿的温度。三个或更多的积极迹象表明精索静脉曲张。本报告的目的是介绍使用数字热成像作为评估精索静脉曲张修复结果的诊断方法。我们介绍了一个被诊断为精索静脉曲张III级的学生的案例，并通过阴囊热像术前评估和术后随访。根据热成像指标，我们的患者在手术治疗前精索静脉曲张诊断为阳性。精索静脉曲张修复后三个月，患者未显示精索静脉曲张的热成像指标阳性，而体格检查和彩色多普勒超声检查不一致。该病例报告表明，阴囊的红外数字热像仪对于精索静脉曲张手术后的患者监测非常有价值。然而,应该在更多的患者中得到证实。
