超声检查诊断小儿睾丸微小结石症的价值  

The value and analysis of Ultrasonic diagnosis in Children's testicular Mierolithiasis

作　　者：符柳江[1] 钟伟邦[2] 

机构地区：[1]广东省广州市儿童医院功能科,510120 [2]广州医学院第二附属医院超声科

出　　处：《中国妇幼保健》2006年第23期3326-3327,共2页Maternal and Child Health Care of China

摘　　要：目的：探讨超声检查在小儿睾丸微小结石症（TM）诊断中的应用价值。方法：应用高频线阵探头，诊断6例TM，同时进行随访和复查。结果：儿童声像图与成人一样，表现为单侧或双侧睾丸实质内弥漫分布2mm，无声影的强光点，其中3例1侧隐睾，1例双侧隐睾，2例鞘膜积液，病理改变为曲细精管内多发分层状钙化，2例超声和临床随访无恶性变。结论：高频超声对TM诊断起到重要作用。小儿TM常因阴囊其它疾病行超声检查时确诊。因有睾丸肿瘤发生的倾向，需定期6～12个月超声检查。Objective： To investigate the application value of ultrasonic diagnosis in children＇s tosticular mierolithiasis. Methods： Six cases of TM were diagnosed with high - frequency linear array probe （direct detection ） and trace and countercheck were carried throught. Results： The acoustic images of TM children were as the same as those of TM audles. They appeared to be strong echogcnic dots, less than 2mm and without acoustic shadows, distributing in the parenchyma of unilateral or bilateral testicle. The distributions of echogenic dots could be divided into two types： the diffuse type and the peripheral type. Among these six cases three patients were unilateral cryporehism. One bilateral cryptorehism and two hydrocele of tunica membrane. Pathological changes were multiple and layered califications in the curly dcfercnt ducts. Two case had no malinant changes through the ultrasonic and clinical trace. Conclusion： High frequency ultrasound has played an important part in the diagnosis of TM. While Dopple ultrasound has no differential diagnosis. Children＇s TM is often diagnosed when scrotum is examined by ultrasound for other disease. Children of TM should be termly checked by ultrasound about 6 - 12 months because of the inclining to testicular tumor.

关 键 词：睾丸 钙化 小儿 超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学]