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目的探讨隐睾继发病变的声像图特点及超声诊断价值。方法回顾性分析18例隐睾继发病变患者的临床及超声资料,总结不同病变的超声图像特征。结果腹内型隐睾10例,腹股沟型隐睾8例。继发精原细胞瘤6例(1例合并扭转),畸胎瘤4例(3例成熟畸胎瘤和1例未成熟畸胎瘤),寄生胎并扭转1例,未定性小圆形细胞恶性肿瘤1例,睾丸附睾炎1例,单纯隐睾扭转5例。超声检查正确定位病变来源于隐睾10例(10/18);定性准确11例(11/18);定位定性均准确9例(9/18)。结论肿瘤性病变及扭转为隐睾较常见的继发病变,超声检查有一定的诊断价值。
Objective To investigate the ultrasonographic features and diagnostic value of secondary cryptorchidism lesions. Methods The clinical and ultrasonic data of 18 patients with secondary cryptorchidism were retrospectively analyzed. The features of ultrasound images of different lesions were summarized. Results 10 cases of intra-abdominal cryptorchidism, inguinal cryptorchidism in 8 cases. Secondary seminoma in 6 cases (1 with combined torsion), teratoma in 4 cases (3 cases of mature teratoma and 1 case of immature teratoma), parasitic fetus and torsion in 1 case, unidentified small round cells 1 case of malignant tumor, 1 case of testicular epididymitis, 5 cases of pure cryptorchidism. Ultrasound examination of the correct localization of lesions from 10 cases of cryptorchidism (10/18); qualitative and correct in 11 cases (11/18); localization and accuracy were 9 cases (9/18). Conclusions Tumor lesions and torsion are the more common secondary lesions of cryptorchidism. Ultrasound has some diagnostic value.