Barth R A, Teele R L, Colodny A, Retik A, Bauer S
Radiology. 1984 Jul;152(1):65-8. doi: 10.1148/radiology.152.1.6587434.
The ultrasound scans of 16 boys with asymptomatic scrotal masses were retrospectively studied. Ultrasound localized seven of the masses as primary testicular lesions and nine as extratesticular lesions, six of which were hydroceles. Ultrasonography also characterized the scrotal masses as predominantly cystic or solid. Ultrasound could not differentiate benign from malignant disease when a solid mass was found. When a hydrocele was identified, ultrasound was able to image the underlying testis and accurately evaluate it for primary disease. These ultrasound observations can help the surgeon decide when to explore the scrotum and whether to approach the testes via an inguinal or scrotal incision. Conversely, ultrasonographic confirmation of a normal testis may prevent needless surgery and the removal of a normal testis.
对16例有无症状阴囊肿物的男孩进行了超声扫描的回顾性研究。超声将其中7个肿物定位为原发性睾丸病变，9个为睾丸外病变，其中6个为鞘膜积液。超声检查还将阴囊肿物特征为以囊性或实性为主。当发现实性肿物时，超声无法区分良性与恶性疾病。当确定为鞘膜积液时，超声能够对其下方的睾丸进行成像，并准确评估是否存在原发性疾病。这些超声观察结果有助于外科医生决定何时探查阴囊以及是通过腹股沟切口还是阴囊切口接近睾丸。相反，超声证实睾丸正常可避免不必要的手术以及切除正常睾丸。
