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目的探讨超声在儿童睾丸下降不全合并睾丸扭转的诊断及其临床意义。方法回顾性分析我院3 424例睾丸下降不全中,8例经手术证实的睾丸下降不全合并睾丸扭转的手术病理结果及其声像图表现。结果在就诊的3 424例睾丸下降不全患儿中,经手术确诊合并睾丸扭转者8例;睾丸下降不全合并扭转的发生率约为0.23%。年龄2个月~14岁,其中<1岁4例。5例的声像图表现为患侧不均匀类椭圆形低回声团块,彩色多普勒实质内无血流信号,术中睾丸均坏死行睾丸切除;1例正常睾丸声像图,但睾丸内及周围血流信号丰富,术中保留睾丸,行睾丸固定术。1例术前超声未显示睾丸声像图,仅提示腹股沟疝,手术显示睾丸坏死给予切除。1例超声提示睾丸下降不全伴畸胎瘤,行睾丸肿瘤剔除术并保留睾丸。结论儿童睾丸下降不全合并扭转不多见,超声诊断有助于发现危急值病例,为这类患儿的急诊手术治疗提供可靠的诊断依据。
Objective To investigate the diagnosis and clinical significance of ultrasound in children with testicular descent and testicular torsion. Methods Retrospective analysis of 3 424 cases of testicular descent in our hospital, 8 cases of surgically proven testicular hypoplasia combined with testicular torsion surgery and pathological findings and sonographic findings. Results Among the 3 424 cases of testicular descent in our hospital, 8 cases were diagnosed as having testicular torsion surgically. The incidence of incomplete or combined testicular hypoplasia was 0.23%. Aged 2 months to 14 years old, of which <1 year old in 4 cases. Five cases of the echographic image showed the ipsilateral non-uniform elliptical hypoechoic mass, blood flow within the color Doppler signal, intraoperative testicular necrosis were orchidectomy; 1 case of normal testicular sonography, but the testis And peripheral blood flow signal rich, intraoperative retention of testis, testicular fixation. One case of preoperative ultrasound did not show testicular sonography, only prompted inguinal hernia, surgery showed testicular necrosis given resection. One case of ultrasonic testicular hypoplasia teratoma, line testicular tumor resection and retain the testis. Conclusion Children with incomplete testicular descent combined torsion rare, ultrasound diagnosis can help find cases of critical value for these children’s emergency surgical treatment to provide a reliable basis for diagnosis.