陰囊水腫 診斷에 있어서의 水腫造影術의 利用 = Hydrocelography in Diagnosis of Hydrocele

국문 초록 (Abstract)

一側性 陰襄水腫 患者 42例를 對象으로 選定하여 그들의 水腫을 直接 經皮 穿剌한 다음 造影劑를 注入하여 撮影한 X-線所見 ?? 水腫造影像과 手術所見을 比較 觀察하였다.
水腫造影上 造影劑가 腹腔內로 流入됨을 볼 수 있는 境遇를 交通性 水腫, 볼 수 없는 境遇를 非交通性 水腫으로 判讀하였던 바 交通性과 非交通性 水腫과의 鑑別診斷率은 95%였다.
陰襄水腫 42例 中 交通性 水腫이 34例로 非交通性 水腫보다 4倍 程度 많았다. 靑年期의 水腫은 大部分이 交通性 精系水腫이었고, 激烈한 運動으로 因한 腹壓 抗進에 依해 느슨하게 閉??되어 있던 초상돌기가 再開放되어 發生하는 것으로 생각된다.
水腫造影術은 交通性 水腫과 非交通性 水腫과의 鑑別診斷에 利用할 수 있는 簡單하고 安全한 方法이며, 이로써 陰襄水腫 患者의 術前 術式 決定에 도움을 얻을 수 있다고 思料된다.

다국어 초록 (Multilingual Abstract)

Hydrocelography, an X-ray examination following the percutaneous injection of contrast medium into the hydrocele cavity. was carried out on 42 partients with unilateral hydrocele, and comparative results between the hydrocelographic findings and operative findings were evaluated. In reading the hydrocelograms, the hydroceles were classified as communicating when the contrast medium enters into the peritoneal cavity, and as noncommunicating when it does not. The accuracy of hydrocelography in the differential diagnosis of communicating from noncommunicating hydroceles in young adults were communicating cord tyes which might be caused by recanalization of the loosely obliterated funicular process due to the increased intraabdominal pressure from strenuous physical activity. Hydrocelography was considered to be safe and easy to perform, and useful in determining preoperative surgical approaches.