高频超声诊断睾丸微石症的价值及临床意义

High frequency ultrasonograph in diagnosis of testicular microlithiasis

摘要: 目的:探讨高频超声诊断睾丸微石症(TM)的价值和临床意义。方法:回顾分析30例睾丸微石症患者的声像图及睾丸内动脉血流参数,并与30名正常人对照。结果:30例睾丸微石症中22例发生于双侧,8例发生于单侧。声像图特征表现为睾丸实质内可见散在稀疏或密集分布的点状强回声,直径1~2 mm,后方无声影。睾丸内动脉各血流参数与正常者差异均无统计学意义(P>0.05)。结论:高频超声能准确诊断睾丸微石症,是首选检查及随访方法。

Abstract: Objective: To explore the diagnostic value of high frequency ultrasound in testicular microlithiasis(TM) and its clinical significance.Methods: The sonography and the stream parameters of the testicular artery of 30 cases of testicular microlithiasis were retrospectively analyzed and 30 healthy persons acted as controls.Results: Of the 30 cases of testicular microlithiasis,22 cases were involved with both of the testes and 8 cases with only one testis.Sonographic features showed rare or diffuse high-echo dots in the testicular parenchyma with a diameter of 1-2 mm,devoid of shadow.There was no significant difference in blood stream parameters of testicular artery between TM group and the control group(P>0.05).Conclusions: High frequency ultrasound can accurately diagnose TM.It is the first-choice of method.