小儿睾丸异位的超声诊断及其临床意义

发布时间：2018-02-20 03:30

  本文关键词： 超声 睾丸异位 儿童　出处：《中国超声医学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的探讨超声在小儿睾丸异位的应用价值。方法对我院经手术确诊为睾丸异位的50例患儿,年龄为15d~12岁,回顾分析其临床表现、声像图及手术病理结果。结果 50例患儿中左侧睾丸异位26例、右侧睾丸异位23例、双侧睾丸异位1例。(1)32例睾丸异位至同侧,包括会阴部浅筋膜层18例、前腹壁皮下浅筋膜层7例、腹股沟管浅袋3例、大腿内侧根部3例、阴茎根部1例。(2)18例睾丸异位至对侧,包括对侧阴囊内9例、对侧腹股沟管内5例、对侧盆腔内4例。(3)睾丸大小:异位睾丸的长、宽及横径均小于非异位侧睾丸,差异具有统计学意义(P均0.05)。(4)合并畸形:异位睾丸合并对侧睾丸下降不全7例、腹股沟疝7例、鞘膜积液10例、合并睾丸扭转1例、合并米勒管永存综合征2例。(5)手术及随访结果:50例患儿均行睾丸固定术。随访时间2个月~5年,睾丸未发生明显萎缩,未发生继发性睾丸肿瘤。结论超声可以准确显示睾丸的位置及其发育,评价治疗结局及预后,是小儿睾丸异位的首选影像学方法。
[Abstract]:Objective to explore the application value of ultrasonography in children with testicular ectopic. Methods 50 cases of children with testicular ectopic diagnosed by operation in our hospital, aged 15 days or 12 years, were analyzed retrospectively and their clinical manifestations were analyzed retrospectively. Results there were 26 cases of left testicular ectopic, 23 cases of right testicular ectopic, 32 cases of bilateral testis ectopic to ipsilateral, including 18 cases of perineal superficial fascia. There were 7 cases of subcutaneous superficial fascia in anterior abdominal wall, 3 cases of superficial bag of inguinal canal, 3 cases of medial thigh root, 1 case of penile root, and 2cases of testicular ectopic to opposite side, including 9 cases in contralateral scrotum and 5 cases in contralateral inguinal canal. In contralateral pelvic cavity (n = 4) testicular size: the length, width and transverse diameter of ectopic testis were smaller than those of non-ectopic testis, and the difference was statistically significant (P < 0.05) with deformities: ectopic testis complicated with contralateral testicular decline in 7 cases, inguinal hernia in 7 cases, ectopic testis with contralateral testicular decline in 7 cases, inguinal hernia in 7 cases. There were 10 cases of hydrocele, 1 case of testicular torsion, 2 cases of persistent syndrome of Hans Muller tube) and 50 cases of children underwent testicular fixation. The follow-up time was 2 months to 5 years, and there was no obvious atrophy of testis. Conclusion Ultrasound can accurately show the location and development of testis and evaluate the outcome and prognosis of children with testicular heterotopia.
【作者单位】： 深圳市儿童医院超声影像科;
【分类号】：R445.1;R726.9
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