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患儿,男,10个月.出生后7个月家长发现患儿右阴囊肿块,无发热及其他不适.于1991年5月入院.足月顺产,家族中无类似疾病史.体检:体温36.8℃,脉搏110次/min,呼吸20次/min,血压 12/7kPa.发育正常,营养中等,浅表淋巴结肿大,心肺及肝脾无异常.阴茎发育正常,右侧阴囊增大.沿腹 股沟管外口下方可触及5.0cm×3.0cm×2.5cm 包块.并向深处延伸,质偏硬,轻度触痛.阴囊内触及精索静脉迂曲扩张呈团状,站立、平卧时肿块无改变.透光试验阴性.查血、尿常现正常,肝、肾功能检查均在正常范围. 临床诊断:右精索肿瘤,右侧精索静脉曲张(继发性).于1991年9月12日在全麻下 行右侧阴囊内肿块切除术,术中见右侧精索迂曲扩张呈团状,肿块斜倾似马蹄形围绕精索血管.精索被膜与肿块界限不清,远端与附睾及睾丸尾部相连,肿
Children, male, 10 months. 7 months after birth, parents found the right scrotal mass, no fever and other discomfort. Admitted to hospital in May 1991. Full term delivery, family history of no similar disease. Physical examination: body temperature 36.8 °C, Pulse 110 beats/min, Breathing 20 beats/min, Blood pressure 12/7kPa. Normal development, moderate nutrition, superficial lymph nodes, no abnormalities in heart, lung, liver and spleen. Penis development is normal, right scrotum increases. Along the groin A 5.0cm×3.0cm×2.5cm mass can be touched below the outer mouth of the tube. Extends deeper into the body, which is harder and mildly tender. The scrotum touches the varicocele and expands in a swollen state. No change. Transmitted light test negative. Check blood, urine often normal, liver and kidney function tests are within the normal range. Clinical diagnosis: right spermatic cord tumor, right varicocele (secondary). In 1991 9 On the 12th of the month, under general anesthesia, right scrotal lump resection was performed. During the operation, the right spermatic cord was distended and expanded in a lump. The tumor slanted like a horseshoe around the spermatic vessels. The boundary between the spermatic cord and the mass was unclear. Connected epididymis and testicle tail, swollen