Haller J, Gritzmann N, Sommer G, Schmidbauer C, Leitner H, Tscholakoff D, Czembirek H
Ludwig Boltzmann-Institut für radiologisch-physikalische Tumordiagnostik, I. Med. Univ.-Klinik, Wien.
Urologe A. 1987 Nov;26(6):343-8.
In 394 patients with various urological symptoms, the content of the scrotum was examined sonographically. 71 testicular lesions were found, 194 extratesticular pathologies were diagnosed. In 69% the enlargement of the testicle was due to a tumor, in 4 patients due to acute orchitis and in 3 patients due to acute torsion. An unilateral smaller sized testicle was found in chronic inflammation [5], cryptorchism [9], hypoplastic testicle [2] and after corticoid medication [1] and radiation therapy [1]. In normal sized testicles 8 tumors, 19 fibromas of the tunica albuginea, 2 scars after trauma and 1 haematoma were found sonographically. In 91% of patients with epididymitis the epididymis was enlarged. The echo structure was altered in 74%, in 13% abscesses were found. Sonography was useful in evaluation of scrotal herniation, especially when combined with hydroceles. Varicoceles were better detected and graduated by sonography than by clinical examination.
对394例有各种泌尿系统症状的患者进行了阴囊内容物的超声检查。发现71例睾丸病变，诊断出194例睾丸外病变。在69%的病例中，睾丸增大是由肿瘤引起的，4例是由急性睾丸炎引起的，3例是由急性扭转引起的。在慢性炎症[5例]、隐睾症[9例]、睾丸发育不全[2例]以及使用皮质类固醇药物后[1例]和放射治疗后[1例]发现单侧睾丸较小。在大小正常的睾丸中，超声检查发现8例肿瘤、19例白膜纤维瘤、2例外伤后瘢痕和1例血肿。在91%的附睾炎患者中，附睾肿大。74%的患者回声结构改变，13%的患者发现脓肿。超声检查在评估阴囊疝方面很有用，尤其是与鞘膜积液合并时。与临床检查相比，超声检查能更好地检测和分级精索静脉曲张。
