Adaletli Ibrahim, Kurugoglu Sebuh, Kantarci Fatih, Tireli Gulay Aydin, Yilmaz Mehmet Halit, Gulsen Fatih, Mihmanli Ismail, Sander Serdar
Department of Radiology, Cerrahpasa Faculty of Medicine, Istanbul University, 34300 Istanbul, Turkey.
J Ultrasound Med. 2006 Sep;25(9):1131-6; quiz 1137-8. doi: 10.7863/jum.2006.25.9.1131.
The purpose of this study was to investigate whether there is an association between communicating congenital hydroceles and testicular volume in children.
Seventeen children with unilateral communicating congenital hydroceles who underwent hydrocelectomies were included in the study. Testicular volumes were measured before and after hydrocelectomy on both the affected and unaffected sides.
We found statistically significant differences in testicular volumes between the normal sides (mean +/- SD, 0.62 +/- 0.24 mL) and the sides with hydroceles (0.72 +/- 0.26 mL) before surgery (P < .001) and in testicular volumes of the sides with hydroceles before (0.72 +/- 0.26 mL) and after (0.60 +/- 0.19 mL) surgery (P < .001). There was no significant difference in testicular volumes before (0.62 +/- 0.24 mL) and after (0.62 +/- 0.21) surgery on the normal sides (P = .978). The mean decrease in volume of the testes with hydroceles after hydrocelectomy was approximately 15%.
This study shows that there is an association between congenital communicating hydroceles and testicular volume in children. Clinicians should be aware that there is a decrease in testicular volume after hydrocelectomy so they do not misdiagnose this change as postoperative trauma or atrophy.
本研究旨在调查儿童交通性先天性鞘膜积液与睾丸体积之间是否存在关联。
本研究纳入了17例接受鞘膜积液切除术的单侧交通性先天性鞘膜积液患儿。在鞘膜积液切除术前和术后测量患侧和未患侧的睾丸体积。
我们发现，术前正常侧睾丸体积（均值±标准差，0.62±0.24 mL）与鞘膜积液侧睾丸体积（0.72±0.26 mL）之间存在统计学显著差异（P <.001），且鞘膜积液侧术前（0.72±0.26 mL）和术后（0.60±0.19 mL）的睾丸体积也存在统计学显著差异（P <.001）。正常侧术前（0.62±0.24 mL）和术后（0.62±0.21）的睾丸体积无显著差异（P =.978）。鞘膜积液侧睾丸在鞘膜积液切除术后的平均体积减少约15%。
本研究表明儿童先天性交通性鞘膜积液与睾丸体积之间存在关联。临床医生应意识到鞘膜积液切除术后睾丸体积会减小，以免将这种变化误诊为术后创伤或萎缩。
