睾丸横过异位畸形的影像学诊断(附二例报告并文献复习)  

Transverse testicular ectopia:report of two cases and review of literature

作　　者：缪伟[1] 李宝[2] 付世文[1] 商希峰[3] 张敬[3] 刘志健[4] 黄进[1] 

机构地区：[1]潍坊市人民医院超声医学科,山东261041 [2]潍坊医学院附属医院泌尿外科,山东261040 [3]潍坊市人民医院小儿外科,山东261041 [4]潍坊市人民医院放射科,山东261041

出　　处：《影像诊断与介入放射学》2013年第1期32-35,共4页Diagnostic Imaging & Interventional Radiology

摘　　要：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。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 contralaleral scrotum or inguinal region. The postoperative ultrasound at 8 months showed both testes in good position with normal blood flow. Conclusions rITE 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.

关 键 词：睾丸横过异位 畸形 超声 体层摄影术 X线计算机 睾丸下降固定术 

分 类 号：R697.22[医药卫生—泌尿科学]