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阴囊超声检查中的鉴别诊断。128例连续病例回顾。

Differential diagnosis in scrotal ultrasound. A review of 128 consecutive cases.

作者信息

Kontkanen T K, Bondestam S, Miettunen R H

机构信息

Department of Diagnostic Radiology, Meilahti Hospital, Helsinki University Central Hospital, Finland.

出版信息

Scand J Urol Nephrol. 1990;24(1):7-10. doi: 10.3109/00365599009180351.

DOI:10.3109/00365599009180351
PMID:2181638
Abstract

One hundred and twenty-eight male patients were examined by ultrasound during a period of two years. The hospital records of the patients were reviewed one to three years after the first examination. The role of the ultrasound diagnosis in the differential diagnosis of suspected scrotal diseases was re-evaluated from a radiologist's point of view. Ultrasound is useful in the differentiation of intra- and extratesticular pathology, especially when palpation is difficult. All the extratesticular lesions were benign. The pathological intratesticular findings are described and pitfalls in the differential diagnosis discussed. It seems possible that the patient history greatly affects the ultrasound diagnosis when there is an intratesticular finding. Ultrasound should be used to provide reference information for the necessary follow-up studies of the effects of treatment.

摘要

在两年时间里,对128名男性患者进行了超声检查。首次检查后的一至三年,查阅了这些患者的医院记录。从放射科医生的角度重新评估了超声诊断在疑似阴囊疾病鉴别诊断中的作用。超声在鉴别睾丸内和睾丸外病变方面很有用,尤其是在触诊困难时。所有睾丸外病变均为良性。描述了睾丸内的病理检查结果,并讨论了鉴别诊断中的陷阱。当睾丸内有检查结果时,患者病史似乎对超声诊断有很大影响。超声应用于为治疗效果的必要随访研究提供参考信息。

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