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特发性鞘膜积液患者与非特发性鞘膜积液患者的鞘膜积液生化分析。

Biochemical analysis of tunica vaginalis fluid in patients with or without idiopathic hydroceles.

作者信息

Madlala T S, Rencken R K, Bornman M S, Reif S, Joubert H F, Van der Merwe C A

机构信息

Department of Urology, Medical University of Southern Africa, Medunsa.

出版信息

Br J Urol. 1994 Oct;74(4):511-4. doi: 10.1111/j.1464-410x.1994.tb00433.x.

DOI:10.1111/j.1464-410x.1994.tb00433.x
PMID:7820433
Abstract

OBJECTIVE

To establish the differences, if any, between the biochemical composition of idiopathic hydrocele fluid and the fluid normally present in the tunica vaginalis.

PATIENTS AND METHODS

Aspiration and sclerotherapy of 37 idiopathic hydroceles from patients who presented to this urology clinic were performed. The biochemical content of the fluid was compared with that of the tunica vaginalis fluid from a small group of controls (n = 8), taken from patients undergoing orchidectomy for carcinoma of the prostate.

RESULTS

Differences in several measurements were recorded; in particular, there were significantly higher concentrations of calcium, albumin, total protein and creatine-kinase in the hydrocele group. The levels of potassium, aspartate transaminase, alanine transaminase and alkaline phosphatase were significantly lower in the hydrocele group.

CONCLUSION

Whether these differences have a role in the causation of an idiopathic hydrocele is, at this stage, speculative. A similar study on a larger scale would probably be more conclusive.

摘要

目的

确定特发性鞘膜积液液的生化成分与正常存在于鞘膜中的液体之间是否存在差异(若有差异)。

患者与方法

对前来本泌尿外科诊所就诊的37例特发性鞘膜积液患者进行了抽吸和硬化治疗。将该液体的生化成分与一小群对照组(n = 8)的鞘膜液进行了比较,对照组取自因前列腺癌接受睾丸切除术的患者。

结果

记录到了几项测量指标的差异;特别是,鞘膜积液组中钙、白蛋白、总蛋白和肌酸激酶的浓度显著更高。鞘膜积液组中钾、天冬氨酸转氨酶、丙氨酸转氨酶和碱性磷酸酶的水平显著更低。

结论

现阶段,这些差异是否在特发性鞘膜积液的病因中起作用尚属推测。规模更大的类似研究可能会更具结论性。

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