论文部分内容阅读
病历摘要患儿,1(1/2)岁。右侧阴囊内发现肿块1年,于1990年9月8日入院。1年前其母无意中发现患儿右侧阴囊内有一硬性肿块,约“汤圆”大小,无红肿痛,逐渐增大,一直未消退,不能还纳入腹腔;未行任何治疗。查体:发育尚可;表浅淋巴结未扪及肿大。心肺(-);腹平坦未扪及肿块。右侧阴囊皮肤不红肿,右睾丸约“鸡蛋”大小,质硬,略有沉重感,平卧后推之不回纳,肿块大小亦无变化。透光试验(-)。左侧睾丸大小正常。入院诊断:右侧睾丸肿瘤。9月10日全麻下经腹股沟切口行右睾丸肿瘤切除术。术中见睾丸肿块大小约5×4×3cm,表面光整无结节但有少许曲张增粗血管、质硬韧,呈灰白色,阴囊内无异常液体,精索未见明显异常。在内环口行高
Summary of medical records in children, 1 (1/2) years old. The right scrotum was found in the mass for 1 year and was admitted on September 8, 1990. A year ago, their mother accidentally found a right side of the scrotum in children with a hard mass, about “dumpling” size, no swelling and pain, and gradually increased, has not subsided, can not be incorporated into the abdominal cavity; no treatment. Physical examination: development is acceptable; superficial lymph nodes palpable enlarged. Heart and lung (-); abdominal flat palpable mass. The right scrotum skin is not inflated, the right testicle about the “egg” size, hard, slightly heavy sense of supine after the push back to not satisfied, the size of the tumor has not changed. Light transmission test (-). Left testis size normal. Admission diagnosis: right testicular tumor. September 10 under general anesthesia groin incision right testicular tumor resection. See intraoperative testicular tumor size of about 5 × 4 × 3cm, the surface smooth nodules but a little varicose vein thickening, hard and tough, gray, no abnormal scrotal liquid, no significant abnormal spermatic cord. High in the inner ring mouth