CT、MRI在附睾肿块诊断中的应用价值  

Application value of CT and MRI in diagnosis of epididymal masses

作　　者：陈明安[1] 龙德云[1] 陈和平[1] 尹满香[2] 毛庆聪[1] 邵伟新[1] 

机构地区：[1]武警浙江总队医院放射科,嘉兴314000 [2]武警浙江总队医院病理科,嘉兴314000

出　　处：《武警医学》2008年第11期983-986,共4页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的探讨附睾肿块的临床特点和CT、MRI表现。方法回顾性分析42例经手术病理证实的附睾肿块的临床表现和CT、MRI特点。结果附睾囊肿13例,附睾非特异性炎性肿块11例,结核8例,精子性肉芽肿4例,平滑肌瘤2例,纤维假瘤1例,腺瘤样瘤3例;附睾囊肿及结核的影像表现有一定特征性;MRI对于附睾炎性肿块、平滑肌瘤、纤维假瘤的诊断有较大帮助。结论附睾肿块大多为良性病变;正确认识附睾肿块的CT、MRI表现,对附睾肿块的早期诊断及治疗有较高的临床价值,少数附睾肿块缺乏影像特征性,依赖病理确诊。Objective To investigate the clinical, CT, and MRI manifestation of epididymal masses. Methods Forty- two patients with epididymal masses which had been confirmed by surgery and pathology were analyzed retrospectively. Results Thirteen patients had epididymal cyst, 11 nonspecific inflammatory masses of epididymis, 8 tuberculosis of epididymis, 4 spermatic granuloma, 2 leiomyoma of epididymis, 1 fibrous pseudoneoplasm of epididymis, 3 adenomatoid tumors of epididymis. Epididymal cyst and epididymal tuberculosis have characteristic imaging appearance on CT and MRI. MRI is important in the diagnosis of epididymal inflammatory mass and leiomyoma and fibrous pseudoneoplasm. Condusioas A majority of epididyrnal masses are benign lesions. CT and MRI are very useful in the diagnosis of epididymal masses;they have an important clinical value in the early diagnosis and treatment. A small number of epididymal masses have no imaging signs,whose diagnosis depends on pathology.

关 键 词：附睾肿块 断层摄影术 核磁共振成像 

分 类 号：R737.21[医药卫生—肿瘤] R445[医药卫生—临床医学]