高频超声对无痛性附睾肿瘤的临床诊断价值

High-frequency Ultrasonic Diagnosis of Painlessness Epididymal Neoplasms

目的:探讨高频超声对无痛性附睾肿瘤的临床诊断价值。方法:回顾性分析经手术和病理证实的11例附睾肿瘤患者(12个病灶)的二维和彩色多普勒超声表现。结果:11例附睾肿瘤发生在左侧3例,右侧8例。发生于附睾尾5例,附睾头6例。肿块形态规则10例,不规则1例。肿块边界清晰9例,不清晰2例。肿块内部呈低回声7例,等回声3例,高回声1例,回声均匀或尚均匀7例,回声不均匀4例。Adler分级0级4例,I级4例,II级3例。结论:附睾肿瘤声像图表现有一定特征性,超声对于诊断附睾肿瘤具有重要价值。

Purpose： To explore the value of high-frequency color Doppler ultrasound in diagnosis of epididymal neoplasms. Methods： The features of 2-dimensional and color Doppler ultrasound of 11 patients with 12 benign neoplasms of epididymis confirmed by pathology after surgical resection were analyzed. Results： There were 3 cases of epididymal neoplasms occurred on the left side and 8 cases on the right side; 5 cases occurred at the tail of the epididymis, and 6 cases at the head. The shape was regular in 10 cases and irregular only in 1 case. There were 9 cases with clear boundary and 2 cases with obscure boundary.Compared with the normal epididymis, there were 7 cases with low echo, 3 cases with equal echo, and 1 case with high echo. Seven cases were with homogenous internal echo and the rest were with heterogeneous echo. According to the Adler grade of blood flow, 4 cases were with grade 0, 4 cases with grade Ⅰ, and 3 cases with grade Ⅱ. Conclusion： Most neoplasms of epididymis have typical ultrasonic features. Ultrasonography is a valuable method for diagnosis of epididymal neoplasms.