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精索结核临床上比较罕见,术前诊断也较困难。我院自1977～1985年共收治7例,现报导分析如下: 临床资料:本组年龄27～56岁,平均39岁。病变部位:右侧4例,左侧3例。病程1个月～15年,7例中仅1例有结核病史。7例阴囊及腹股沟部均有不同程度的酸胀感,其中5例局部疼痛,6例因局部触及肿块而来院就诊。局部检查,6例可触及精索结节,大小自花生米至乒乓球大小,结节位于阴囊内精索段5例,腹股沟精索段2例。结节表面欠光滑,质地中等,与周围组织粘连,不活动,局部有压痛,2例伴附睾肿大(其中1例还伴睾九肿大)。7例的泌尿系统检查,包括尿液、尿路X线检查、
Polymorphonuclear nodules are relatively rare in clinic, and preoperative diagnosis is more difficult. Our hospital from 1977 to 1985, a total of 7 cases were reported as follows: Clinical data: The group aged 27 to 56 years, mean 39 years. Lesions: right in 4 cases, left in 3 cases. Duration of 1 month to 15 years, 7 cases in only 1 case of tuberculosis history. 7 cases of scrotum and groin have varying degrees of soreness, 5 cases of local pain, 6 cases due to local palpation and come to hospital. Local examination showed that 6 cases could reach the spermatic nodules, the size from the peanut to the size of table tennis, the nodules were located in the scrotal sphincter segment in 5 cases, the inguinal sphincter segment in 2 cases. Nodular surface less smooth, medium texture, with the surrounding tissue adhesions, inactivity, local tenderness, 2 cases with epididymoid enlargement (including 1 case also associated with enlarged nine). 7 cases of urological examination, including urine, urinary X-ray examination,