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我院1970年1月至1986年12月共收治13例,附睾精子性肉芽肿,现报道如下。临床资料本组年龄28～51岁,39岁以下者11例,40岁以上者2例。部位:左侧7例,其中累及睾丸者2例,右侧3例,双侧3例。症状:局部疼痛者6例,局部硬结而无痛者7例,仅1例有膀胱刺激症状。发病时间(以出现疼痛或肿大为准)1～24月,其中3月以内者3例,3～12月者5例,1年以上者5例。术中所见:硬节位于附睾体或尾部者8例,全附睾者5例。结节最大者3×2×2cm,最小者1.5×0.5×0.5cm,其中直径约2cm 者8例。硬节表面光滑,多硬如软骨,一般无粘连。本组术前误诊为附睾结核5例,附睾炎2例,附睾肿物6例.
Our hospital from January 1970 to December 1986 were treated 13 cases of epididymal sperm granuloma, are reported below. Clinical data The group aged 28 to 51 years, under 39 years of age in 11 cases, 40 years of age in 2 cases. Location: left in 7 cases, including 2 cases of testicular involvement, right in 3 cases, bilateral in 3 cases. Symptoms: local pain in 6 cases, local induration and painless in 7 cases, only 1 case of bladder irritation. The onset time (to appear pain or enlargement prevail) 1 ~ 24 months, of which 3 cases within 3 months, 3 to December in 5 cases, more than 1 year in 5 cases. Intraoperative findings: hard segment is located in the epididymis or tail in 8 cases, 5 cases of whole adrenal. The largest nodules 3 × 2 × 2cm, the smallest 1.5 × 0.5 × 0.5cm, of which about 2cm in diameter in 8 cases. Hard surface smooth, hard as cartilage, generally no adhesion. Misdiagnosed as preoperative epididymal tuberculosis in 5 cases, 2 cases of epididymitis, epididymal masses in 6 cases.