超声诊断睾丸微石症与睾丸相关疾病的关系研究

目的探讨睾丸微石症(testicular microlithiasis,TM)与睾丸相关疾病的关系。方法回顾性分析6 622例有阴囊症状、经阴囊超声检查发现睾丸微石症(TM)患者的临床资料。结果检出率为3.35%,其中双侧为多,占比为89.1%,TM组与非TM组中睾丸附睾炎的发生率分别为13.45%,14.09%,2组比较P为0.82,x2为0.051,隐睾发生率分别为2.70%,2.37%,2组比较P为0.753,x2为0.098,差异无统计学意义;TM组与非TM组精索静脉曲张发生率分别为49.5%,40.21%,2组比较P为0.0053,x2为7.75,2组差异有统计学意义。结论睾丸微石症发生率不低,其为常见病,其与睾丸附睾炎、隐睾无明确相关关系,而与精索静脉曲张明显相关,超声检查是睾丸微石症确诊和随访的主要工具。

The relations between ultrasound diagnosis of testicular microlithiasis with testicular disease

Objective To study the relationship between testicular microlithiasis with testicular disease. Methods 6622 cases of scrotal symptoms underwent scrotal ultrasound and the results were analyzed retrospectively. Results the testicular microlithiasis detection rate of this group patients is 3.35% ,most of which is bilateral and is about 89.1%. The incidence of the TM group and the non - TM group of testicular epididymitis were 13.45%, 14.09% , P 0.82,X^2 is 0.051 ; the incidence of cryptorchidism rate was 2.70% ,2.37% in both groups, P 0.753, X^2 is 0.098, both of two groups is no significant difference; TM group and the non -TM group varicocele incidence is 49.5% ,40.21% respectively,in both groups,P O. 0053,X^2 is 7 . 75, the difference was significant. Conclusion Testicular microlithiasis incidence is not low, as the common. No clear correlation between Testicular epididymitis, cryptorchidism with testicular microlithiasis, however, the difference was significant between testicular microlithiasis with varicocele. Uhrasonography is the main tool for diagnosis and follow - up of testicular microlithiasis .