Estudio retrospectivo de criptorquidea por ultrasonido en pacientes del Hospital Roberto Gilbert Elizalde 2010 - 2011
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Introducción: La ecografía es un estudio imagenológico empleado con mucha frecuencia en criptorquídea. A pesar de las limitaciones que le han sido atribuidas, aún es el examen imagenológico más solicitado entre pediatras por sospecha de testículo no descendido. Es necesario que el médico imagenólogo se encuentre familiarizado con las imágenes y hallazgos posibles en esta patología para optimizar el diagnóstico. Como el el hospital “Roberto Gilbert” no contaba con esa información, se realizó este estudio, con el objetivo de establecer las características del ecográficas de esta patología en pacientes pediátricos. Método: Se efectuó un estudio descriptivo en el que se incorporarán de forma no aleatoria 100 casos pediátricos en quienes se realizó ecografía por diagnóstico de criptorquídea entre 2010 y 2011. Resultados: La prevalencia de criptorquídea entre pacientes estudiados ecográficamente por ausencia de testículo en el escroto fue del 96%. El 65% de los testículos estaban en el canal inguinal, en el 36% la anomalía era derecha. En el 43% se acompañó de una hernia. En el 1% el diagnostico ecográfico fue dificultoso. La edad promedio fue 4.2 años. Conclusiones: El estudio proporciona información que ayuda a establecer cuáles son las características ecográficas que se presentan, cuál es la de mayor frecuencia y qué características tiene la población afectada.
Background: Ultrasound is an imaging test used frequently in cryptorchidism. Despite the limitations that have been attributed, is still the most requested among paediatricians for suspected undescended testicle imaging test. It is necessary that the physician imagenólogo be familiar with the images and in this pathology findings possible to optimize the diagnosis. As the hospital " Robert Gilbert" did not have that information, this study was conducted, with the aim of establishing the sonographic features of this condition in pediatric patients. Method: A descriptive study that will be incorporated nonrandomly 100 pediatric cases in whom ultrasonography was performed for diagnosis of cryptorchidism was performed. Results: The prevalence of cryptorchidism among patients studied by ultrasound absence of testis in the scrotum was 96 %. 65% of the testes were in the inguinal canal, in 36% the anomaly was right. In 43 % was accompanied by a hernia. In 1% ultrasonographic diagnosis was difficult. the average age was 4.2 years. Conclusions: This study provides information that helps establish what the sonographic features presented, which is the highest frequency and the characteristics of the affected population.
Background: Ultrasound is an imaging test used frequently in cryptorchidism. Despite the limitations that have been attributed, is still the most requested among paediatricians for suspected undescended testicle imaging test. It is necessary that the physician imagenólogo be familiar with the images and in this pathology findings possible to optimize the diagnosis. As the hospital " Robert Gilbert" did not have that information, this study was conducted, with the aim of establishing the sonographic features of this condition in pediatric patients. Method: A descriptive study that will be incorporated nonrandomly 100 pediatric cases in whom ultrasonography was performed for diagnosis of cryptorchidism was performed. Results: The prevalence of cryptorchidism among patients studied by ultrasound absence of testis in the scrotum was 96 %. 65% of the testes were in the inguinal canal, in 36% the anomaly was right. In 43 % was accompanied by a hernia. In 1% ultrasonographic diagnosis was difficult. the average age was 4.2 years. Conclusions: This study provides information that helps establish what the sonographic features presented, which is the highest frequency and the characteristics of the affected population.
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Criptorquidia, Ultrasonografía, Pediatría, Hospital de Niños Dr. Roberto Gilbert Ellizalde, Cantón Guayaquil, Ecuador