睾丸微石症的临床研究

Clinical study of testicular microlithiasis

目的认识睾丸微石症（TM）的特点，提高临床诊治水平。方法回顾性分析15例TM的临床资料，并结合文献进行讨论。结果所有病例均通过阴囊高频彩超准确诊断，14例患者为双侧睾丸同时存在TM，1例为左侧单发；4例又反复出现睾丸疼痛症状，予以抗炎止痛治疗后好转，其余11例无任何临床症状，均因其他疾病而偶然发现。其中1例患者为睾丸肿瘤，予以睾丸根治切除术。结论对于TM患者，阴囊高频彩超检查具有重要诊断意义，TM有诱发睾丸肿瘤的可能，必须对其进行随访，如发现有低回声团块，需行睾丸探查。

Objective To better understand clincal characteristics oftesticular microlithiasis （TM）, and improve its diagnosis and treatment. Methods The clinical data of 15 patients with TM were retrospectively analyzed and the related papers were reviewed. Results All patients with TM were diagnosed correctly by high frequency color ultrasound system. In 15 patients with TM, 14 patients of them were diagnosed as bilateral testis TM and 1 patient unilateral TM. Four patients had the symptom of reiterative testicle pain. They received recovered anti inflammatory and acesodyne therapy and recoved. Other 11 patients were found by accidental for other disease.The patient with testicle tttmor underwent testicle radical excision. Conclusion TM was a risk factor for occurrence of testicle tumor. It is necessary to follow up the patients with testicular microlithiasis strictly. Testicular exploration should be done if hypoechoic mass was detected.