儿童睾丸微石症的临床特点  

Clinical characteristics of testicular microlithiasis in children

作　　者：牛之彬[1] 杨屹[1] 侯英[1] 陈辉[1] 

机构地区：[1]中国医科大学附属盛京医院小儿泌尿外科,沈阳110004

出　　处：《中华实用儿科临床杂志》2017年第23期1800-1802,共3页Chinese Journal of Applied Clinical Pediatrics

摘　　要：目的总结儿童睾丸微石症（TM）的临床特点，以提高对该病的认识。方法回顾性分析2006年3月至2014年12月中国医科大学附属盛京医院诊断的118例TM患儿的临床资料，包括患儿的一般资料、影像学资料、超声检查原因、合并症及随访情况，并对上述资料进行总结。结果患儿118例，年龄0.25-14.00岁（平均7.98岁）。超声检查原因：无症状22例，睾丸不适28例，睾丸小6例，阴囊不明包块10例，隐睾病史36例，鞘膜积液病史15例；合并疾病：先天性睾丸发育异常44例（隐睾34例，睾丸发育不良6例，睾丸缺如4例），鞘膜积液（疝）15例，睾丸附睾炎12例，精索静脉曲张6例，附睾囊肿5例，睾丸畸胎瘤2例，肾上腺皮质增生1例，睾丸扭转1例，无合并症32例。双侧TM 87例（其中典型TM 38例，局限TM 49例），单侧TM 31例（其中典型TM 8例，局限TM 23例）。53例获得随访，随访1-36个月（平均12.5个月），病变稳定，未见进一步病变。结论儿童TM非罕见病例，病因不清，无特异性临床症状，常并睾丸异常；儿童TM与成人睾丸肿瘤的相关性尚不能确定。短期内TM的分布及累及程度稳定，少有发生睾丸肿瘤，但需要重视随访，尤其是青春期及其后的随访。Objective To improve the understanding of the implications of testicular microlithiasis（TM） in paediatric patients by summarizing the clinical characteristics of TM.Methods One hundred and eighteen boys diagnosed as TM based on ultrasound between March 2006 and December 2014 at Shengjing Hospital Affiliated to China Medical University were retrospectively reviewed.Demographic data, imaging data, indications for ultrasound, associated inguinoscrotal pathologies and follow-up data were collected.Results There were 118 cases of patients aged from 0.25 to 14.00 years（averaging 7.98 years）. The indication for ultrasound included health check（22 cases）, testicular discomfort（28 cases）, small testes（6 cases）, scrotal mass（10 cases）, with history of cryptorchidism（36 cases）, with history of hydrocele（15 cases）. Concomitant diseases included congenital anomaly of testis in 44 cases[cryptorchidism（34 cases）, testicular absence（4 cases）, testicular hypoplasia（6 cases）], hydrocele of tunica vaginalis or hernia（15 cases）, testicular epididymitis（12 cases）, varicocele（6 cases）, epididymal cyst（5 cases）, testicular teratomas（2 cases）, adrenal cortical hyperplasia（1 case）, testicular torsion（1 case）, and none associated disease（32 cases）. Bilateral TM was in 87 cases（the typical TM in 38 cases, limited TM in 49 cases）, while unilateral TM was in 31 cases（the typical TM in 8 cases, limited TM in 23 cases）. Fifty-three cases were followed up for 1 month to 36 months（averaging 12.5 months）, and the condition was stable, no testicular malignancy was observed during follow-up.Conclusions The TM in children is not a rare disease.The etiology of TM is not clear and there are no special clinical symptoms.TM is often associated with testicular abnormality in pediatric patients and the correlation between children′s TM and adult testicular tumor can not be determined yet.The distribution and involving degree of TM is stable in the short term with inf

关 键 词：儿童 睾丸 微石 超声成像 

分 类 号：R726.9[医药卫生—儿科]