【摘要】 目的 研究红外热影像诊断仪在男性生殖系统疾病中的应用。方法 对男性各类生殖系统疾病39例(鞘膜积液9例、急性睾丸炎4例、精索静脉曲张4例、急性附睾炎14例和其他疾病8例)进行红外热影像并对5例进行治疗后随访，结果与B超和临床对照。结果 以正位左右侧阴囊的高值温度或平均温度>0.5℃为异常，红外热影像对男性生殖系统的阳性检出率为51.3%(20/39)，与B超的诊断符合率为71.8%(28/39)，对鞘膜积液、急性睾丸炎、精索静脉曲张和急性附睾炎的阳性检出率分别89%、75%、75%和36%。治疗随访5例中4例治疗后左右阴囊侧温差缩小，提示好转。结论 红外热影像测定阴囊温度操作简便，可为睾丸和附睾等相关疾病提供初筛方法，多次重复检查，可作为疗效评估和监测的无创伤的手段。

    【关键词】 红外热影像；男性生殖系统；阴囊温度

    Application of infrared thermography for the diagnosis of male genital system diseases

    YI Gui-zhi,SUN Fu-kang, GUAN Liang,et al.

    Department of Nuclear Medicine, Ruijin Hospital of Shanghai Second Medical University, Shanghai 200025, China

    【Abstract】 Objective To study the use of infrared thermography for the diagnosis of male genital system diseases.Methods Different male genital diseases 39 cases ( 9 hydrocele, 4 acute orchitis, 4 varicocele of spermatic cord, 14 acute epidiymitis and 8 other diseases) were underwent by infrared thermography and 5 cases for therapeutic monitoring, and also compared with ultrasonic and clinical study.Results The maximum and average temperature's difference between right and left scrotum over 0.5 ℃ was considered as abnormal. The positive detectability rate of infrared thermography in male genital system disease was 51.3%(20/39) ......