Mattila S I, Tammela T L, Mäkäräinen H P, Hellström P A
Department of Diagnostic Radiology, Oulu University Central Hospital, Finland.
J Ultrasound Med. 1993 Jun;12(6):311-5. doi: 10.7863/jum.1993.12.6.311.
Sclerotherapy has gained increasing popularity during the last few years as a treatment for hydrocele. Little is known of the natural course of intrascrotal changes, however, nor of their timetable after therapy. In the present trial scrotal ultrasonography was performed before the sclerotherapy and during the follow-up examination in the case of 70 symptomatic consecutive outpatients ranging in age from 19 to 85 years (mean, 58 years) with 71 hydroceles treated by ethanolamine oleate sclerotherapy. Posttreatment sonographic findings typically included heterogeneously echogenic extratesticular masses, cystic areas with peritesticular hyperechoic lines, and a thickened scrotal wall. All the lesions showed improvement. Sonography proved to be useful for differentiating hydroceles from spermatoceles and for evaluating the need for a renewed treatment during follow-up. Ethanolamine oleate was effective as a sclerosant, as 86% of cases were cured or significantly improved. Complications were mild and uncommon, and no intratesticular or epididymal changes were observed. Ethanolamine oleate sclerotherapy can be recommended as a treatment of choice for hydrocele.
在过去几年中，硬化疗法作为治疗鞘膜积液的一种方法越来越受到欢迎。然而，对于阴囊内变化的自然病程以及治疗后的时间表却知之甚少。在本试验中，对70例年龄在19至85岁（平均58岁）的有症状连续门诊患者进行了硬化疗法，这些患者共有71个鞘膜积液，在硬化疗法前及随访检查期间进行了阴囊超声检查。治疗后的超声检查结果通常包括睾丸外不均匀回声团块、伴有睾丸周围高回声线的囊性区域以及增厚的阴囊壁。所有病变均有改善。超声检查被证明有助于区分鞘膜积液和精液囊肿，并评估随访期间是否需要再次治疗。油酸乙醇胺作为硬化剂是有效的，86%的病例治愈或显著改善。并发症轻微且不常见，未观察到睾丸内或附睾的变化。油酸乙醇胺硬化疗法可作为鞘膜积液的首选治疗方法。
