阴囊内窥镜与B型超声诊断阴囊内疾病的对比观察

ComparativestudyofthediagnosticprecisenesofscrotoscopeandB┐ultrasonographyonscrotallesions

作者对３０例阴囊内疾病进行了阴囊内窥镜及Ｂ超检查。结果表明，与病理结果对照，内窥镜检查的总诊断符合率（７３．３％），显著高于Ｂ超检查（４６．７％）。在炎性肿块与肿瘤的鉴别方面，内窥镜检查的准确性（８６．７％）显著高于Ｂ超（６０％）；在囊肿与实质性肿块以及附睾炎与附睾结核的鉴别方面，两者差异无显著性（Ｐ＞０．０５）。借助阴囊内窥镜不但能在直视下观察病变，而且能在直视下取活检或行肿物切除，方法简便、安全，值得进一步推广。

ThirtypatientswithscrotallesionswereexaminedwithbothscrotoscopeandB-ultra-sonography.Incomparisonwiththeoutcomeofpathologicalresults,thetotaldiagnosticeffectivenessrateofthescrotoscope(73.3%)wassignificantlyhigherthanthatofB-ultrasonography(46.7%).Scrotoscope(86.7%)wasfarmoreprecisethanB-ultrasonography(60%)indistinguishingabenignlumpfromatumour(P<0.05).However,whenappliedtoseparateacystfromasolidlump,andepi-didymitisfromepididymaltuberculosis,thetwomethodsdidnotrevealremarkablediference(P>0.05).Scrotoscopealowsbiopsyandremovalofthelumpunderdirectvision.Itishandyandsafeandisdesirabletouseonalargerclinicalscale.