不可觸及隱睾及其惡變的MSCT診斷價值
醫學影像
作者：馮彥琦
[摘要] 目的 探討MSCT對腹部隱睾及其惡變的診斷價值。方法 回顧性分析經手術病理證實的29例33枚臨床未觸及的隱睾及其CT表現，其中3枚惡變。結果 29例33枚隱睾全部檢出並定位，其中4例為雙側隱睾，5枚均位於腹腔內，1枚位於髂窩部腹膜後，2枚位於腹股溝區。25例單側隱睾中17枚位於腹腔內，3枚位於腹膜後，5例位於腹股溝區。其CT征象為卵圓形或類圓形軟組織腫塊，腫塊長軸多與睾丸下降路徑一致。無惡變者邊界清楚，輪廓光整，較正常睾丸小，密度均勻。若腫塊較大、密度不均勻、形態不規則，並由患側睾丸動脈供血者，則可作出腹部隱睾惡變的定性診斷。結論 MSCT能檢出不可觸及的隱睾，並鑒別是否惡變，對術前定位定性、指導臨床手術具有較高的價值。
[關鍵詞] 隱睾；精原細胞瘤；體層攝影術；X線計算機
[中圖分類號] R697.22；R814.42[文獻標識碼] B[文章編號] 1673-9701（2014）15-0058-03
Do not touch the cryptorchidism and its value of MSCT in the diagnosis of m alignant transformation
FENG Yanqi
Hubei University of Chinese Medicine Affiliated Hospital of XiangyangXiangyang City Chinese MedicineHospital Radiology Department,Xiangyang 441000, China
[Abstract] Objective To evaluate the value of MSCT in diagnosis of abdominal cryptorchidism and evil change. Methods Aretrospective analysis of 29 cases confirmed by surgery pathology 33 clinical cryptorchidism and CT manifestation of untouched, of which 3 m alignant. Results The 29 cases of cryptorchidism in detection and localization for all 33 medals, including 4 cases of bilateral cryptorchidism, 5 of which were located in the abdominal cavity, 1 was located in the iliac fossa retroperitoneal, 2 cases were located in the inguinal region. 25 cases of unilateral cryptorchidism in 17 were located in the abdominal cavity, 3 cases were located in the retroperitoneum, 5 case in the inguinal region. The CT signs were oval or round soft tissue mass, mass reduction and testis axis multi path. No m alignant change of clear boundary, contour, compared with normal testicular small, uniform density. If large masses, uneven density, irregular shape, and by the ipsilateral testicular artery, qualitative diagnosis made abdomen enorchia canceration. Conclusion MSCT can check out the untouchable cryptorchidism, and identify whether evil change, the preoperative localization qualitative and guide clinical surgery is of high value.