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超声诊断隐睾的应用体会
黄 莉,覃东琼
545006 柳州,广西医科大学附属第五医院超声科
摘要:
[摘要] 目的 探讨超声诊断隐睾的价值。方法 对204例隐睾患者(242侧)声像图特征进行回顾性分析,并与手术结果对照比较。结果 超声诊断219侧,手术证实假阴性18侧,假阳性5侧,超声诊断符合率为90.5%(219/242),隐睾最常见部位位于腹股沟及其附近,隐睾回声与对侧正常睾丸回声相对偏低。结论 超声可显示隐睾大小及内部结构情况,对隐睾进行定位诊断准确率较高,为手术方案提供重要指导意义。在超声检查时应注意检查技巧,熟悉睾丸发生和下降的位置和路径,重点应放在腹股沟附近,注意与淋巴结鉴别。
关键词:  超声诊断  隐睾症
DOI:10.3969/j.issn.1674-3806.2010.08.26
分类号:R 445.1,R 697
基金项目:
Application experience of ultrasonic diagnosis in cryptorchidism
HUANG Li, QIN Dong-qiong
Department of Ultrasond,the Fifth Affiliated Hospital of Guangxi Medical University,Liuzhou 545006,China
Abstract:
[Abstract] Objective To study the value of ultrasonic diagnosis in cryptorchidism.Methods The ultrasonic imaging characteristics of 204 cases (242 side) of cryptorchidism were retrospectively analyzed,and contrasted with the operative result.Results Two hundred and nineteen cases of cryptorchidism were accurately diaognosed by ultrasonnography.Operation confirmed false negative in 18 cases, false positives in 5 cases. Ultrasound diagnostic accuracy was 90.5% (219/242). The most common sites of cryptorchidism was groin and its near place. Echoes of side with cryptorchidism was lower than those of normal testis.Conclusion Ultrasonic diagnosis can display the size and the internal structure of cryptorchidism, its location accuracy of cryptorchidism was higher.It provide important instruction for the operation plan. In ultrasonic examination surgeon should pay attention to the examination skills, familiarize oneself with the position and drop path of testis, focus on nearby lymph nodes, and the identification of cryptorchidism and the lymph nodes.
Key words:  Ultrasonic diagnosis  Cryptorchidism