首页|阴囊肿块诊治的研究进展

阴囊肿块诊治的研究进展

Research progress in diagnosis and treatment of scrotal masses

扫码查看
阴囊肿块是泌尿外科门诊常见的疾病,在急诊患者中占1%.对关于阴囊肿块的主诉做出诊断具有挑战性,因为各种阴囊肿块的症状和体征相重叠.未能正确识别和处理阴囊肿块,诸如睾丸扭转、睾丸癌、精索静脉曲张和鞘膜积液,可能导致患者不育、睾丸丢失,甚至是死亡.由于误诊、漏诊后果的严重性,对可能危及生命和睾丸的阴囊肿块,须保持高度戒备,并准确地识别出来.充分掌握各种阴囊肿块的表现和不同之处可以帮助临床医生正确做出诊断并提供最佳的治疗措施.排除危及生命或睾丸的紧急情况,如睾丸扭转和需要立即干预的睾丸恶性肿瘤、坏死性筋膜炎是重中之重.阴囊超声检查是区分不同来源阴囊肿块的最佳方法;磁共振检查是诊断阴囊血肿的最佳方法.然而,良好的临床判断和决策仍然是成功治疗阴囊肿块患者的最重要因素.该文旨在描述阴囊肿块的正确评估方式、潜在的危及睾丸存活的状况的识别,以期对每种阴囊肿块做出准确的病理学诊断评估和治疗方法.
Scrotal mass is a common problem in the outpatient department of urology,accounting for 1%of all emergency patients.The diagnosis of scrota]masses is challenging due to the overlapping symptoms and signs of various scotal masses.Failure to correctly identify and treat scrotal masses,such as testicular torsion,testicular cancer,varicocele,and hydrocele,may lead to infertility,testicular loss,or even death.Misdiagnosis or missed diagnosis of scrotal masses may result in infertility,testicular loss,or even death.Therefore,we must maintain a high degree of vigilance and accurately identify scrotal masses that may affect life and testicular function.A full understanding of the manifestations and differences of various scrotal masses can help clinicians make accurate diagnoses and provide optimal treatment plans.The most critical aspect is to exclude emergency situations that may endanger life or testicular function,such as testicular torsion,testicular cancer,and necrotizing fasciitis,which require immediate medical attention.Scrotal ultrasonography is the best method for distinguishing scrotal masses based on their origin.Magnetic resonance imaging is the best tool for diagnosing scrotal hematoma.However,good clinical judgment and decision-making are still the most important factors for successful treatment of scrotal masses.The purpose of this article is to describe correct evaluation methods for scrotal masses and identify potential conditions that may threaten testicular survival,enabling accurate pathological diagnosis,evaluation,and treatment plans for each scrotal mass.

Genital diseases,maleScrotumNeoplasmsVaricoceleTestisTesticular hydroceleFasciitis,necrotizingDiagnosisClinical protocols

王劭亮、王书龙、王勇、陈蓉

展开 >

武警湖北省总队医院泌尿外科,武汉 430061

武警湖北省总队医院卫勤处,武汉 430061

武警湖北省总队医院特色医学二科,武汉 430061

生殖器疾病,男(雄)性 阴囊 肿瘤 精索静脉曲张 睾丸 睾丸鞘膜积液 筋膜炎,坏死性 诊断 临床方案

2024

中国基层医药
中华医学会,安徽医科大学

中国基层医药

影响因子:1.003
ISSN:1008-6706
年,卷(期):2024.31(1)
  • 5