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目的:统计睾丸各附属结构的发生率,观察其形态,分析其组织病理学来源。方法:2009年5月至2013年7月行阴囊手术的患者54例,其中儿童15例,成人39例,共计67个睾丸术中被探查,统计睾丸附属结构的检出率,并切除送病理学检查,明确其组织来源。结果:睾丸附件检出率80.6%(54/67),附睾附件检出率23.9%(16/67),旁睾检出率1.5%(1/67),上迷管检出率3.0%(2/67),下迷管检出率1.5%(1/67)。儿童睾丸附属结构检出率高于成人(93.3%vs 80.8%),但无统计学意义(χ2=1.339,P>0.05),儿童睾丸附件和附睾附件带蒂率显著高于成人(82.4%vs 54.7%,χ2=4.149,P<0.05)。睾丸附件病理检查为副中肾管源性,附睾附件、旁睾和上下迷管均为中肾管源性。结论:睾丸附属结构包括睾丸附件、附睾附件、旁睾、上迷管和下迷管5种胚胎残基,其中睾丸附件是副中肾管残基,其余4种为中肾管残基。这些附属结构的临床意义在于它们的扭转倾向。
OBJECTIVE: To statistics the incidence of accessory structures in testes, observe its morphology, and analyze the origin of histopathology. METHODS: From May 2009 to July 2013, 54 patients underwent scrotal surgery, of which 15 were children and 39 were adults. A total of 67 testes were examined intraoperatively to assess the detection rate of accessory structures in the testis and to remove the disease Neo-Confucianism, clear source of their organization. Results: The detection rate of testicular attachment was 80.6% (54/67), the attachment rate of epididymis was 23.9% (16/67), the rate of parathyroidis was 1.5% (1/67) 2/67), the next tube detection rate of 1.5% (1/67). The detection rate of children’s testicular appendages was higher than that of adults (93.3% vs 80.8%), but not statistically significant (χ2 = 1.339, P> 0.05). Children’s testicular attachment and epididymis attachment rate was significantly higher than that of adults (82.4% vs 54.7%, χ2 = 4.149, P <0.05). Testicular accessory pathological examination for the deputy of renal tubular, epididymal attachment, epididymitis and upper and lower vaginal tube are in the renal tubular. CONCLUSION: Testicular appendages include testicular appendix, epididymis attachment, epididymis, five kinds of embryo residues on the tube and the tube. The testicular appendix is the accessory mesonephric remnant and the remaining four are mesonephric remnants. The clinical significance of these ancillary structures lies in their tendency to reverse.