Rathaus V, Konen O, Shapiro M, Lazar L, Grunebaum M, Werner M
Department of Diagnostic Imaging, Tel-Aviv University, Israel.
Br J Radiol. 2001 Sep;74(885):818-20. doi: 10.1259/bjr.74.885.740818.
The aim was to evaluate the value of ultrasound diagnosis of spermatic cord hydrocele as a cause of inguinal swelling or mass in children. Clinical and ultrasound (US) findings and surgical procedures of 27 children with spermatic cord hydrocele were reviewed. All children, except one, were referred for US because of suspected inguinal hernia, hydrocele or inguinal mass. In one child, the US examination was performed to confirm the diagnosis of a spermatic cord hydrocele. An encysted hydrocele was diagnosed in 24 out of 27 cases, whereas a funicular type of spermatic cord hydrocele was found in the remaining 3 cases. Internal septa were seen within the fluid mass in four patients. 23 children underwent surgical exploration that confirmed the US diagnosis. Three children with encysted-type hydrocele were only followed clinically and by US, and one was lost from follow-up. US examination is a very sensitive and accurate method for diagnosis of this entity and for exclusion of other lesions in this region.
目的是评估超声诊断精索鞘膜积液作为儿童腹股沟肿胀或肿块原因的价值。回顾了27例精索鞘膜积液患儿的临床、超声（US）表现及手术过程。除1例患儿外，所有患儿均因疑似腹股沟疝、鞘膜积液或腹股沟肿块而接受超声检查。1例患儿进行超声检查以确诊精索鞘膜积液。27例中有24例诊断为包块型鞘膜积液，其余3例为精索型鞘膜积液。4例患者的液性肿块内可见内部隔膜。23例患儿接受了手术探查，证实了超声诊断。3例包块型鞘膜积液患儿仅接受临床和超声随访，1例失访。超声检查是诊断该疾病及排除该区域其他病变的非常敏感和准确的方法。
