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目的探讨附睾结节的诊断、治疗方法及病理特点。方法对103例附睾结节进行回顾性分析。结果 103例均行手术治疗,术后恢复顺利。病理检查示:附睾结核46例,精子肉芽肿17例,腺瘤样瘤13例,慢性非特异性附睾炎12例,精液性囊肿5例,浆液性囊腺瘤4例,化脓性附睾炎3例,纤维瘤2例和平滑肌肉瘤1例。结论附睾结节诊断依赖病史、体征和病理检查。手术是有效治疗方法。附睾结节大部份为良性病变。
Objective To investigate the diagnosis, treatment and pathological characteristics of epididymal nodules. Methods 103 cases of epididymal nodules were retrospectively analyzed. Results All the 103 cases underwent surgical treatment and recovered well after operation. Pathological examination showed: 46 cases of epididymal tuberculosis, 17 cases of sperm granuloma, 13 cases of adenomatoid tumor, 12 cases of chronic non-specific epididymitis, 5 cases of serous cyst, 4 cases of serous cystadenoma, suppurative epididymitis in 3 cases , 2 cases of fibroma and 1 case of leiomyosarcoma. Conclusion The diagnosis of epididymal nodules depends on history, signs and pathological examination. Surgery is an effective treatment. Most of the epididymal nodules are benign lesions.