Mac Kinnon J, Coz F, Díaz L
Servicio de Radiología, Hospital Militar, Santiago.
Rev Chil Obstet Ginecol. 1990;55(1):6-9.
Five patients who consulted for orchialgia in whom the diagnosis of testicular microlithiasis was made by means of scrotal sonography, are reported. Four of them showed oligo or azoosperm and also four had their testis diminished in size. The echographic findings are characteristic and they consist of multiple small echogenic non shadowing images, randomly distributed within both testis. Pathology was available in three cases. Atrophy of the germinal epithelium with impairment of the spermiogenesis associated with intratubular calcic microspheres was demonstrated. There are few reports in the literature regarding testicular microlithiasis and until now we have not heard about an association between testicular microlithiasis, orchialgia and oligo or azoosperm. The diagnosis can be done by means of scrotal sonography. This imaging method should be considered in the work-up of male infertility.
报告了5例因睾丸疼痛前来就诊的患者，通过阴囊超声检查确诊为睾丸微石症。其中4例表现为少精子症或无精子症，且4例患者的睾丸体积缩小。超声检查结果具有特征性，表现为双侧睾丸内随机分布的多个小的强回声、无阴影图像。3例患者有病理检查结果。结果显示生精上皮萎缩，精子发生受损，并伴有管内钙化微球。关于睾丸微石症的文献报道较少，到目前为止，我们尚未听说过睾丸微石症、睾丸疼痛与少精子症或无精子症之间的关联。可通过阴囊超声检查进行诊断。在男性不育症的检查中应考虑这种影像学方法。
