论文部分内容阅读
目的探讨超声在睾丸微结石(TM)随访中的价值。方法回顾性总结40例TM并分型,以任一切面多于20个为密集型,反之为稀疏型,对TM及其伴发病变的声像图变化进行跟踪随访。结果 40例TM中,初诊时平均年龄33.5岁,发生于一侧8例,两侧32例;单纯性10例,伴发不同疾病30例;稀疏型29例,密集型11例。随访时间最短1年,最长6年;随访中单纯性中有9例TM自行消失,1例没有变化;伴发疾病得到有效治疗的20例中10例TM完全消失,6例由密集型转变为稀疏型;未得到有效治疗的10例,4例没变化,5例由稀疏型变为密集型,有2例发展为睾丸肿瘤。结论 TM超声具有特征性表现,单纯性通常预后良好,TM与伴发疾病常相互影响,对疾病的积极有效治疗有利于TM的转归。
Objective To investigate the value of ultrasound in the follow-up of testicular microlithiasis (TM). Methods A total of 40 cases of TM were retrospectively reviewed, and more than 20 cases of any type of face were classified as intensive type. Conversely, sparse type was used to follow up the changes of TM and its associated lesions. Results The average age of 40 TM patients was 33.5 years. The incidence was 8 cases on one side and 32 cases on both sides. There were 10 cases with simple disease, 30 cases with different diseases, 29 cases with sparse type and 11 cases with dense type. The shortest follow-up time was 1 year and the longest was 6 years. Among the simple follow-up, 9 cases disappeared by themselves and 1 case did not change. Among the 20 cases with effective treatment, 10 cases disappeared completely and 6 cases As sparse type; 10 cases were not effectively treated, 4 cases did not change, 5 cases changed from sparse to intensive, and 2 cases developed into testicular tumors. Conclusions TM ultrasonography has characteristic features. Simpleness usually has a good prognosis. TM frequently affects each other with concomitant diseases, and positive and effective treatment of diseases is beneficial to the outcome of TM.