Mesh : Male Humans Child Spermatic Cord Torsion / surgery Testis / diagnostic imaging surgery blood supply Indocyanine Green Fluorescence Ischemia / surgery Optical Imaging

来  源:   DOI:10.1016/j.urology.2022.11.061

Abstract:
Testicular torsion (TT) is a surgical emergency requiring early diagnosis and surgical intervention to avoid testicular loss. We report 3 pediatric TT cases with testicular salvage to visualize the blood flow by indocyanine green fluorescence imaging (ICG-FI) on the tunica albuginea of the testis. ICG-FI could not confirm blood flow in the testicular parenchyma; however, it could be detected in postoperative ultrasonography. Blood visualization of the tunica albuginea by ICG-FI may have potential criteria for testicular salvage. Long-term follow-up investigations after testicular salvage are needed to conclude the ICG-FI efficacy for TT.
摘要:
睾丸扭转(TT)是一种外科急症,需要早期诊断和手术干预以避免睾丸丢失。我们报告了三例小儿TT病例,通过睾丸白膜上的吲哚菁绿荧光成像(ICG-FI)观察睾丸的血流。ICG-FI无法确认睾丸实质的血流;然而,可以在术后超声检查中检测到。ICG-FI对白膜的血液可视化可能具有睾丸挽救的潜在标准。睾丸抢救后需要进行长期随访调查,以得出TT的ICF-FI疗效。
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