CAJ | 학술논문

目的探讨超声等影像诊断方法对睾丸横过异位的诊断价值,提高对本病的认识,以求早诊断早治疗.方法报告2例睾丸横过异位的临床和影像资料,并对国内外睾丸横过异位的诊断治疗相关文献复习.结果超声结合CT对这2例睾丸横过异位术前诊断明确,定位准确.睾丸横过异位患者超声一般表现为:患侧阴囊及腹股沟无睾丸回声,对侧阴囊内或腹股沟内可见两个睾丸回声.2例患者术后超声随访8个月,双侧睾丸位置良好、血流正常.结论睾丸横过异位是罕见的睾丸下降不良畸形,术前难确诊,超声可以作为首选辅助检查手段,如诊断有困难应结合CT、MR、腹腔镜等诊断手段.此类患者应2岁之前行睾丸下降固定术,术后应用超声定期随访以防恶变.
목적탐토초성등영상진단방법대고환횡과이위적진단개치,제고대본병적인식,이구조진단조치료.방법보고2례고환횡과이위적림상화영상자료,병대국내외고환횡과이위적진단치료상관문헌복습.결과초성결합CT대저2례고환횡과이위술전진단명학,정위준학.고환횡과이위환자초성일반표현위:환측음낭급복고구무고환회성,대측음낭내혹복고구내가견량개고환회성.2례환자술후초성수방8개월,쌍측고환위치량호、혈류정상.결론고환횡과이위시한견적고환하강불량기형,술전난학진,초성가이작위수선보조검사수단,여진단유곤난응결합CT、MR、복강경등진단수단.차류환자응2세지전행고환하강고정술,술후응용초성정기수방이방악변.
Objective To review the imaging features of transverse testicular ectopia(TTE),for early diagnosis and treatment. Methods The clinical records of two patients with transverse testicular ectopia were retrospectively analyzed.Results On ultrasound,no testis was identified in the ipsilateral scrotum and inguinal region with both testes located in the contralateral scrotum or inguinal region.The postoperative ultrasound at 8 months showed both testes in good position with normal blood flow.Conclusions TTE is a rare congenital abnormality of testis that is difficult to diagnose preoperatively.Ultrasonography in conjunction with CT,MR, and laparoscopy can improve the diagnosis.Orchiopexy should be performed before age of 2 years with regular follow-up ultrasound to detect malignant transformation.