本文關(guān)鍵詞： 超聲 睪丸異位 兒童　出處：《中國超聲醫(yī)學(xué)雜志》2017年10期 　論文類型：期刊論文

【摘要】：目的探討超聲在小兒睪丸異位的應(yīng)用價(jià)值。方法對(duì)我院經(jīng)手術(shù)確診為睪丸異位的50例患兒,年齡為15d~12歲,回顧分析其臨床表現(xiàn)、聲像圖及手術(shù)病理結(jié)果。結(jié)果 50例患兒中左側(cè)睪丸異位26例、右側(cè)睪丸異位23例、雙側(cè)睪丸異位1例。(1)32例睪丸異位至同側(cè),包括會(huì)陰部淺筋膜層18例、前腹壁皮下淺筋膜層7例、腹股溝管淺袋3例、大腿內(nèi)側(cè)根部3例、陰莖根部1例。(2)18例睪丸異位至對(duì)側(cè),包括對(duì)側(cè)陰囊內(nèi)9例、對(duì)側(cè)腹股溝管內(nèi)5例、對(duì)側(cè)盆腔內(nèi)4例。(3)睪丸大小:異位睪丸的長(zhǎng)、寬及橫徑均小于非異位側(cè)睪丸,差異具有統(tǒng)計(jì)學(xué)意義(P均0.05)。(4)合并畸形:異位睪丸合并對(duì)側(cè)睪丸下降不全7例、腹股溝疝7例、鞘膜積液10例、合并睪丸扭轉(zhuǎn)1例、合并米勒管永存綜合征2例。(5)手術(shù)及隨訪結(jié)果:50例患兒均行睪丸固定術(shù)。隨訪時(shí)間2個(gè)月~5年,睪丸未發(fā)生明顯萎縮,未發(fā)生繼發(fā)性睪丸腫瘤。結(jié)論超聲可以準(zhǔn)確顯示睪丸的位置及其發(fā)育,評(píng)價(jià)治療結(jié)局及預(yù)后,是小兒睪丸異位的首選影像學(xué)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.
【作者單位】： 深圳市兒童醫(yī)院超聲影像科;
【分類號(hào)】：R445.1;R726.9
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本文編號(hào)：1518657