阴囊肿块的诊治体会(附43例报道)

目的：探讨阴囊肿块的病因和临床特点，提高其诊治水平。方法：对2005年1月～2006年12月手术治疗的43例阴囊肿块的临床资料进行回顾性分析。结果：43例阴囊肿块行单纯性肿块切除或附睾睾丸切除，经B超和（或）穿刺细胞学检查，术前诊断准确率达95．3％，1例附睾腺癌、1例附睾横纹肌肉瘤通过术后病理诊断。结论：可通过对阴囊肿块的超声定位、定性判断其良恶性，超声检查可作为阴囊肿块的首选诊断方法，术前穿刺细胞学检查可进一步提高诊断的准确性，指导正确的手术治疗，减少无必要的睾丸切除，提高患者的生活质量。

Diagnosis and treatment of scrotal masses(Report of 43 cases)

Objective:To analyse the etiological and clinical features of the masses of scrotum and improve the diagnostic technique and therapeutic efficacy for scrotal masses.Methods:The clinical data of 43 patients with scrotal masses were retrospectively analyzed in our hospital from January 2005 to December 2006.Results:In this group,43 patients underwent surgical treatment.The diagnostic accuracy of ultrasonic inspection and/or punctura cytology in the patients was 95.3%.One patient of epididymis adenocarcinoma and one patient of epididymis rhabdomyosarcoma were diagnosised with pathologic diagnosis after operation.Conclusions:Ultrasonic inspection and/or puncture cytology are the first-line studies in the evaluation of scrotal masses.They could guide correct operation treatment and make the rational choice of male castration for increase the quality of life.