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1临床资料1例男性,22岁。因腹部触及肿块于2012年4月26日就诊。临床检查为右侧腹股沟区触及一肿物,有触摸痛。外科医生初步诊断为肿大淋巴结或疝气,建议彩色超声检查。在排除肿大淋巴结及疝气同时,为了排除隐睾,给予患者加做双侧阴囊彩色超声检查。彩色超声所见:右侧阴囊内睾丸缺如,向上扫查至腹股沟,于腹股沟近外环扣附近显示隐睾图像,其位置表浅,呈椭圆形,体积较健侧小,约22 mm×12 mm×26 mm,内部为均匀分布的低回声;附睾(隐睾)尾部明显肿大(图1),约20 mm×20 mm,内部回声不均匀减低;左侧睾丸及附睾声像图未见异常;彩色血流示右侧附睾(隐睾)尾部肿大区血流信号丰富(图2),隐睾实质内未见异常的血流信号。超声诊断:右侧隐睾合并附睾炎。患者住院,行右侧睾丸复位固定术,术中于外环口处找
1 clinical data 1 male, 22 years old. Due to abdominal touching the mass on April 26, 2012 treatment. Clinical examination of the right groin area touched a mass, with painful touch. The surgeon initially diagnoses swollen lymph nodes or hernias and recommends color sonography. In the exclusion of swollen lymph nodes and hernia at the same time, in order to rule out cryptorchidism, give patients plus bilateral scrotum color ultrasound. Color ultrasound findings: Right scrotal testis absence, up scans to the groin, in the inguinal near the outer buckle shows cryptorchidism image, the location of shallow, oval-shaped, smaller volume than the contralateral side, about 22 mm × 12 mm × 26 mm, the internal distribution of hypoechoic; epididymis (cryptorchidism) tail was significantly enlarged (Figure 1), about 20 mm × 20 mm, the internal echo unevenly reduced; left testicular and epididymis not See abnormalities; color blood flow showed right epididymis (cryptorchidism) enlargement of the caudal area of blood flow signal rich (Figure 2), no abnormal cryptorchidism within the blood flow signal. Ultrasound diagnosis: cryptorchidism with right epididymitis. Patients were hospitalized, right testicular reduction and fixation, surgery in the outer ring mouth to find