摘要
目的：通过分析附睾肿物的超声特征，提高对附睾肿物的超声诊断及鉴别诊断水平。方法：回顾性分析1990年1月-2004年12月在我院接受手术治疗的179例附睾肿物患者，对病理诊断和超声特征进行分析。结果：179例患者，年龄（51．4±14．7）岁。附睾肿物包括附睾囊性肿物98例，非特异性附睾炎症27例，附睾结核33例，附睾肿瘤21例。附睾疾病中囊性肿物超声诊断率93．8％；附睾结核与附睾炎不易鉴别，两者主要区别在于附睾结核常同时合并肾、输尿管、膀胱、前列腺和睾丸等多脏器结核，在出现寒性脓疡、钙化灶，与皮肤形成窦道时易诊断；附睾肿瘤多为良性，恶性少见，应结合病史、体格检查和超声特征综合鉴别。结论：超声检查对附睾肿物的诊断和鉴别具有重要临床价值，是附睾疾病的首选影像学检查方法。
Objective： To elevate the diagnosis and differential diagnosis levels of epididymal mass by sonography. Methods： This was a retrospective study of 179 cases of epididymal mass treated by surgery in our hospital between 1990 and 2005. The analysis was focused on pathological and sonographic feateurs. Result： 179 patients with mean age of 51.4±14.7 were enrolled. The epididymal mass was classified into four groups ： epididymal cyst （ n = 98 ） , nonspecific epididymifis （ n = 27 ）, tuberculous epididymitis （ n = 33）, and epididymal tumor （n =21 ）. Epididymal cyst could be easily diagnosed by ultrasound, the diagnostic rate was 93.8%, but nonspecific epididymitis and tuberculous epididymitis were hard to differentiate, complicating with multiple organs lesions may distinguish tuberculous from nonspecific epididymitis. Tuberculous epididymitis could be easily diagnosed when cold abscess, calcification and sinus tract emerged. The majority epididymal tumors were benign, and malignant cases were rarely seen. Patient＇s history, physical examination and sonographic features were all essential to make a right diagnosis. Conclution： Ultrasound features may be helpful to the differential diagnosis of epididymal mass and ultrasound should be the first choice of image detection in epididymal lesions.
出处
《中华男科学杂志》
CAS
CSCD
2006年第2期164-166,170,共4页
National Journal of Andrology
关键词
附睾肿物
超声诊断
epididymal mass
ultrasound
