超声诊断睾丸微石症与睾丸性疾病的关系

Ultrasound study on relationship between testicular microlithiasis and testicular diseases

目的探讨睾丸微石症(testicular micrulithiasis,TM)与睾丸性疾病的关系。方法 2 652例睾丸性疾病患者均行阴囊彩超检查,分析TM与睾丸性疾病的关系。结果超声检查确诊TM患者61例为TM组,非TM患者2 591例为对照组,TM检出率为2.30%;TM组睾丸附睾炎(14.75%)、隐睾(3.28%)、睾丸肿瘤发生率(3.28%)与对照组(15.17%、2.97%、0.58%)比较差异均无统计学意义(P>0.05),TM组精索静脉曲张(34.43%)、不育症发生率(40.98%)高于对照组(24.01%、27.06%)(P<0.05)。结论 TM发生与精索静脉曲张、不育症有关,彩超可作为TM确诊和长期随访的主要检查方法。

Objective To discuss the relationship between testicular microlithiasis(TM)with testicular diseases.Methods A total of 2 652 patients with testicular diseases received scrotal ultrasound examinations.The relationship between TM and testicular diseases was analyzed.Results Ultrasound found TM in 61patients(TM group)and non TM in 2 591patients(control group),with the detection rate of 2.30%.There were no significant differences in the incidences of orchiepididymitis(14.75% vs 15.17%),undesceaded testicle(3.8% vs 2.97%)and testicular tumors(3.27%vs 0.58%)between TM group and control group(P>0.05).The incidences of varicocele and infertility were significantly higher in TM group(34.43%,40.98%)than those in control group(24.01%,27.06%)(P<0.05).Conclusion TM is correlated with varicocele and infertility.Ultrasound is the main tool for the diagnosis and long-term follow-up of TM.