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雄性山羊诱导性睾丸病变的超声评估

Ultrasonographic evaluation of induced testicular lesions in male goats.

作者信息

Eilts B E, Pechman R D, Taylor H W, Usenik E A

机构信息

Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge 70803.

出版信息

Am J Vet Res. 1989 Aug;50(8):1361-4.

PMID:2675697
Abstract

To study testicular ultrasonographic features, unilateral testicular artery ligation was performed in 12 bucks to induce predictable ischemic necrosis of the testis. Both scrotal testes then were scanned subsequently on days 1, 3, 5, 7, 15, and 30. On each of the designated days, 2 bucks each were castrated and the excised testes were rescanned outside the scrotum before gross and histologic examinations. In each goat, the testis without the ligated artery served as a control. Gross and histopathologic findings in the testis were compared with ultrasonographic observations. As the study progressed from day 0 to day 15, visually and microscopically, the testis involved in the testicular artery ligation had edema that changed to areas of peripheral necrosis with thickening of the testicular capsule. On day 30, the affected testis had granulation tissue in the areas that previously had been necrotic. Ultrasonographically, the testicular changes were consistent with the gross and histopathologic findings. There were areas of decreased echogenicity that corresponded to the necrotic areas and foci of high echogenicity that corresponded to areas of tubular mineralization. On day 30, the granulation tissue was difficult to differentiate ultrasonographically from normal testicular parenchyma. Between days 3 and 15, hydrocele was seen ultrasonographically in several goats. The excellent association between ultrasonographic findings and gross and histologic changes suggested that testicular ultrasonography might be a valuable diagnostic tool for assessing testicular disease in domestic animals.

摘要

为研究睾丸超声特征,对12只雄兔进行单侧睾丸动脉结扎,以诱导可预测的睾丸缺血性坏死。随后在第1、3、5、7、15和30天对双侧阴囊内睾丸进行扫描。在每个指定日期,各选取2只雄兔进行去势,切除的睾丸在阴囊外再次扫描,然后进行大体和组织学检查。在每只山羊中,未结扎动脉的睾丸作为对照。将睾丸的大体和组织病理学结果与超声观察结果进行比较。随着研究从第0天进展到第15天,肉眼和显微镜下观察到,结扎睾丸动脉的睾丸出现水肿,随后变为周边坏死区域,睾丸包膜增厚。在第30天,受影响的睾丸在先前坏死的区域出现肉芽组织。超声检查显示,睾丸变化与大体和组织病理学结果一致。低回声区域对应坏死区域,高回声灶对应肾小管矿化区域。在第30天,肉芽组织在超声检查中难以与正常睾丸实质区分开来。在第3天至第15天期间,几只山羊超声检查发现有鞘膜积液。超声检查结果与大体和组织学变化之间的良好相关性表明,睾丸超声检查可能是评估家畜睾丸疾病的一种有价值的诊断工具。

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