附睾精子肉芽肿的超声图像及病理特点分析

摘要

目的：分析炎症后附睾精子肉芽肿的超声图像特点，探讨附睾精子肉芽肿的病理特点，为提高临床诊断率提供帮助。方法：回顾性分析38例炎症后附睾精子肉芽肿患者，经彩色超声图普检查后，将患者的病理特点和超声图像特征进行对照分析。结果：经研究比较发现：38例炎症后附睾精子肉芽肿患者的临床情况，其中双侧结节 8例，单侧结节30例；发病部位位于附睾头部13例，中部4例，附睾尾部21例；超声结果显示低回声型23例，等回声型9例，高回声型6例，附睾精子肉芽肿彩色多普勒超声以低回声型较为常见。结论：炎症后附睾精子肉芽肿的病理特征与其超声图普密切相关，两者结合分析可有效提高诊断率。%Objectives:To analyze the ultrasound images characteristic of epididymal sperm granuloma and its pathological features,in order to improve the clinical diagnosis rate.Methods:A retrospective analysis of 38 pa-tients with inflammatory epididymal sperm granulomas after Tupou color ultrasound examination was conducted.The pathological features and ultrasound images characteristics of patients were compared.Results:Of the 38 patients with inflammatory epididymal sperm granuloma,8 cases had bilateral nodules and 30 cases were of unilateral nod-ules;the pathogenic site of 13 cases was at the epididymal head,4 cases in the middle,and 21 cases on the tail of the epididymis.According to the ultrasound results,there were 23 hypoechoic cases,9 iso -echoic cases and 6 hy-perechoic cases.The most common type in the color doppler ultrasound was epididymal sperm granuloma.Conclu-sions:The pathological features of inflammatory epididymal sperm granuloma is closely related to its ultrasound Tup-ou,the binding assay of which can effectively improve the diagnostic rate.