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目的 通过对 60例 71个隐睾的超声诊断与手术结果对照分析 ,总结超声诊断隐睾症的经验体会 ,分析漏检原因 ,提高超声诊断水平。方法 对经手术治疗的隐睾症者 ,术前高频超声检查结果进行回顾整理。结果 本组超声诊断隐睾大小、位置与手术相符 5 9个 ( 83 .1% ) ,漏检 11个 ( 16.9% ) ,误检 1个 ( 1.4% )。隐睾大部分位于阴囊上部、腹股沟区及腹股沟内环附近 (占 83 .1% )。隐睾较正常侧小 ,呈椭圆体形 ,边界清晰光滑 ,内部呈稍低均质实质回声。结论 隐睾大部分位置表浅 ,发育较好的隐睾高频超声诊断准确性高。隐睾严重发育不良、腹膜后位隐睾及伴有腹股沟疝等是超声漏检的主要原因。超声监测婴幼儿隐睾的大小及位置变化 ,对临床治疗有重大的指导意义。
Objective To analyze the experience of ultrasonic diagnosis of cryptorchidism in 60 cases of cryptorchidism in 60 cases and to compare the results of ultrasound diagnosis and surgery. The causes of missed diagnosis were analyzed and the level of ultrasonic diagnosis was improved. Methods The operative treatment of cryptorchidism, preoperative high-frequency ultrasound findings were reviewed. Results The size, location and operation of cryptorchidism in this group were 59 (83.1%), 11 (16.9%) missing and 1 (1.4%) false negative. Most cryptorchidism is located in the upper scrotum, groin area and near the inguinal ring (83.1%). Cryptorchidism smaller than the normal side, was ellipsoid shape, the boundary is clear and smooth, the internal was slightly lower homogeneous echogenic. Conclusions Cryptorchidis most of the superficial position, better development of cryptorchidism high-frequency ultrasound diagnosis accuracy. Cryptorchidism severe dysplasia, retroperitoneal cryptorchidism associated with inguinal hernia is the main reason for missed ultrasound. Ultrasound monitoring of infant cryptorchid size and location changes, the clinical treatment of great significance.