儿童触诊阴性睾丸的超声表现及临床特征。
Ultrasound manifestations and clinical features of nonpalpable testis in children.
机构信息
Pediatric Urodynamic Centre, Urology, The First Affiliated Hospital of Zhengzhou University, Jianshe East Road, Zhengzhou, 450052, Henan, China.
Department of Urology and Laboratory of Pelvic Floor Muscle Function, Shenzhen Children's Hospital, Shenzhen, China.
出版信息
Sci Rep. 2022 Jul 18;12(1):12245. doi: 10.1038/s41598-022-16230-2.
To explore the value of ultrasound in the preoperative diagnosis of nonpalpable testis (NPT) in children. A retrospective study of 254 cases with NPT from May 2017 to December 2021. The preoperative ultrasound examination results were compared with the surgical exploration and pathological results. There were 254 cases (312 testes) NPT has got surgery in our centre. The surgical age were from 6 month to 12 years old, the median age was 2.33 years. There were 103 cases (136 testes) diagnosed as intra-abdominal testis (IAT) by preoperative ultrasound, and 80 cases (103 testes) of extra-abdominal testis (EAT), 71 cases (73 testes) of non-viable testis (NVT). There were 102 cases (135 testes) consistented as IAT by the diagnostic laparoscopy, the preoperative ultrasound's coincidence of IAT was 99.02%. There were 80 cases (103 testes) consistented as EAT by the diagnostic laparoscopy, the preoperative ultrasound's coincidence rate was100%. There were 62 cases (62 testes) consistented as NVT by the diagnostic laparoscopy, there were 9 cases (11 testes) misdiagnosed, the preoperative ultrasound's coincidence rate was 84.9%. Ultrasound can provide valuable information for the preoperative diagnosis of children with nonpalpable testicles, and especially good at identifying the EAT and IAT with normal testicular morphology.
探讨超声在儿童隐匿性睾丸（NPT）术前诊断中的价值。回顾性分析 2017 年 5 月至 2021 年 12 月 254 例 NPT 患儿的临床资料。将术前超声检查结果与手术探查和病理结果进行比较。我院中心共收治 254 例（312 侧）NPT 患儿，手术年龄 6 个月至 12 岁，中位年龄 2.33 岁。术前超声诊断为腹腔内睾丸（IAT）103 例（136 侧），腹外睾丸（EAT）80 例（103 侧），非存活睾丸（NVT）71 例（73 侧）。诊断性腹腔镜检查证实 IAT 102 例（135 侧），术前超声符合率为 99.02%。诊断性腹腔镜检查证实 EAT 80 例（103 侧），术前超声符合率为 100%。诊断性腹腔镜检查证实 NVT 62 例（62 侧），误诊 9 例（11 侧），术前超声符合率为 84.9%。超声检查可为儿童隐匿性睾丸术前诊断提供有价值的信息，尤其对正常睾丸形态的 EAT 和 IAT 具有良好的识别能力。
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