睾丸淋巴瘤的超声影像学和临床特点.docVIP

睾丸淋巴瘤的超声影像学和临床特点 　　【摘要】目的：探讨和分析采取超声影像方法检查睾丸淋巴瘤的临床表现及特点。方法：选取于2011年12月在我院经手术病理确诊为睾丸淋巴瘤患者23例为研究对象，对上述选取对象应用彩色多普勒超声诊断仪进行检查，观察和记录本组患者的超声表现特点。结果：本组23例患者中14例患者睾丸淋巴瘤表现为弥漫型病变，另外9例患者表现为结节型病变；彩色多普勒超声检查提示睾丸病变区域有丰富的血流信号，其中动脉RI为低阻。结论：临床上对于睾丸肿大患者，若不存在疼痛等症状，应预先考虑淋巴瘤；并借助彩色多普勒超声诊断仪对患者病变区域进行检查，该检查方式能充分显示其病变特点，有明显的诊断参考价值。 　　【关键词】超声影像学；睾丸淋巴瘤；临床特点 　　Ultrasonic imaging and clinical features of testicular lymphomaRen Xiang1， LEI Zhikai2. 1. Clinical Laboratory， Hangzhou Uptown Ziyang Street Community Health Service Center， Hangzhou 310002， China； 2. Department of Radiology， Hangzhou First Peoples Hospital， Hangzhou 310002， China 　　【Abstract】Objectives： To investigate and analyze the clinical manifestations and characteristics of using ultrasonic imaging method to check testicular lymphoma. Methods： 23 cases of testicular lymphoma patients that were treated in our hospital in December 2011 were selected as the research object. Color doppler ultrasonic diagnostic instrument was used for the examination of above objects to observe and record the patients sonographic characteristic. Results： Among the 23 patients， 14 patients with testicular lymphoma were characterized by diffuse lesions； the other 9 patients were characterized by nodular lesions. Color doppler ultrasound showed that the testicular lesion area had abundant blood flow signals with low RI resistance arterial. Conclusion： As to patients with testicular swelling， if there is no pain and other symptoms， lymphoma should be considered in advance； color doppler ultrasonic diagnostic instrument should be used on the inspection of lesion area. Such inspection can fully display its pathological feature with a clear diagnosis reference value. 　　【Key words】Ultrasound imaging； Testicular lymphoma； Clinical characteristics 　　【中图分类号】R737.21【文献标志码】B 　　临床上，对于睾丸异常肿大患者进行治疗前，首先需要确定是睾丸炎症还是睾丸肿瘤，而对上述两种病症进行鉴别时最常使用的检查方式即为超声检查，这也是确诊患者病情的首要步骤[1]。该睾丸肿大患者给予超声影像学检查，依据其检查结果呈现特征及描述能明确睾丸的病变性质，进而达到鉴别睾丸炎症或睾丸肿瘤的目的。为分析和总结睾丸淋巴瘤的超声影像学表现特点，选取在我院经手术病理确诊为睾丸