摘要
目的探讨高频彩色多普勒超声在儿童睾丸畸胎瘤的声像图特征及诊断价值。方法回顾重庆市大渡口区人民医院2006年1月至2014年10月收治的19例儿童睾丸畸胎瘤,分析其临床特点、声像图特征及手术病理结果。结果 19例睾丸畸胎瘤患儿平均年龄为15.9个月,均为单侧,左侧8例,右侧11例。19例患儿术前均行高频彩色多普勒超声检查。睾丸畸胎瘤声像图表现多样,可为囊性、囊实性或实性;实性成分里可混杂散在或聚集,大或小的钙化灶。所有患儿均行手术剥除或切除术,术后病理检查结果显示,15例为成熟畸胎瘤,3例为未成熟畸胎瘤Ⅰ级,1例为未成熟畸胎瘤Ⅰ-Ⅱ级。与病理结果比较,高频彩色多普勒超声诊断符合率为57.9%。结论儿童睾丸畸胎瘤根据其成分一致性及浓度不同,超声声像图表现多样,但同时又有其特征性,能与卵黄囊瘤、表皮样囊肿、新生儿睾丸扭转坏死进行鉴别,进而提高儿童睾丸畸胎瘤的超声诊断率。
Objective To investigate the characteristics and diagnostic values of high frequency color Doppler ultrasound in children with testicular teratoma.Methods To retrospectively analyze the clinical data of 19 cases of children with testicular teratoma admitted from January 2006 to October 2014 to People′s Hospital of Dadukou District.To analyze the clinical characteristics,ultrsonographic characteristics,and the pathological results after surgery of these children.Results The average age of 19 children with testicular teratoma was 15.9 months.All of these children had unilateral testicular teratoma,in which there were 8cases of left side,and 11 cases of right side.All of the 19 children received high frequency color Doppler ultrasound examination before surgery.The ultrasonographic performance of testicular teratoma was various,including cystic,cystic solid and solid.There were scattered or aggregated,big or small calcified focus found in solid part.All of these children were treated by enucleation or resection.The pathological results after surgery showed that there were 15 cases with mature teratoma,3cases with immature teratoma in stageⅠ,and 1case with immature teratoma in stage Ⅰ- Ⅱ,respectively.The coincidence of high frequency color Doppler ultrasound with pathological examination was 57.9%.Conclusion The ultrasonographic performance of testicular teratoma was various because of the differences of the compositions of teratoma and their concentrations,which has its own characteristic that can be used in the differential diagnosis of testicular teratoma from yolk sac tumor,epidermoid cyst,and neonatal testicular torsion and necrosis,so as to improve the ultrasonic diagnostic rate of testicular teratoma.
出处
《检验医学与临床》
CAS
2015年第23期3528-3530,3533,共4页
Laboratory Medicine and Clinic
关键词
儿童睾丸畸胎瘤
高频彩色多普勒超声
卵黄囊瘤
表皮样囊肿
新生儿睾丸扭转坏死
testicular teratoma
high frequency color Doppler ultrasound
yolk sac tumor
epidermoid cyst
neonatal testicular torsion and necrosis
