腹股沟肿块24例诊断体会

目的进一步探讨腹股沟肿块的诊断方法。方法回顾性分析24例住院手术治疗的排除腹股沟疝的腹股沟肿块患者的临床资料。结果经术前辅助检查、切取活检,诊断淋巴结炎4例,转移性癌9例,反应性增生3例,淋巴瘤2例,粘液瘤、血管瘤、囊肿、纤维肉瘤、梭形细胞瘤及淋巴结核各1例,均经病理明确诊断,伤口一期愈合。结论影像学检查+切除活检是腹股沟肿块确定诊断的最佳方法。

Objective to further explore inguinal mass diagnosis method.Methods A retrospective analysis of 24 cases in the surgical treatment of inguinal hernia out of inguinal mass or clinical material.Results The preoperative auxiliary examination,chipped biopsy,diagnosis lymphadenitis 4 cases,metastatic carcinoma in 9 cases,reactive hyperplasia in 3,2 cases of lymphoma,mucus tumor,hemangioma,cyst,fibrosarcoma,spindle cell tumor and lymphatic tuberculosis each of the cases,both by pathological diagnosis,the wound primary healing.Conclusion Imaging inspection ＋ resection biopsy is inguinal mass the best way to confirm the diagnosis.