目的探讨精索海绵状淋巴管瘤的疾病特点,提高对精索海绵状淋巴管瘤的临床诊治水平。方法对1例精索海绵状淋巴管瘤病例进行报道,并结合文献报道的资料进行分析总结。结果本例患者34岁,发现左侧阴囊肿物,伴左侧阴囊坠胀感10 d;查体:左侧阴囊体积稍大,精索内可触及多个大小不等的圆形肿物,质软,边界欠清,无触痛,较大者直径约1.0 cm,透光试验(+)。阴囊彩超提示:左精索区可见多个大小不等类圆形无回声区,较大者1.6 cm×1.0 cm×0.7 cm。在腰硬联合麻醉下行左侧精索肿物切除术,术后病变组织送病检,证实为精索海绵状淋巴管瘤。术后随访2个月,未见复发。结论结合文献分析,精索海绵状淋巴管瘤是精索罕见的良性肿瘤,一般无明显不适,肿物可缓慢生长,目前确诊依赖于术后病检。对于精索海绵状淋巴管瘤应尽早手术切除,手术切除是目前治疗该疾病的有效方法。术后患者预后良好,应长期随访。 Objective To investigate the features of the disease in sphincter of the cavernous sphincter and to improve the clinical diagnosis and treatment of cavernous lymphangioma of the spermatic cord. Methods One case of cavernous lymphangioma of the spermatic cord was reported, and the data reported in the literature were analyzed and summarized. Results The patient was 34 years old and found that the left scrotal mass had a bulge on the left side of the scrotum for 10 days. Physical examination showed that the size of the left scrotum was slightly larger and the sphincter could reach many circular masses with different sizes. Soft, less clear boundary, no tenderness, larger diameter about 1.0 cm, light transmission test (+). Scrotal color ultrasound Tip: left spermatic cord area can be seen a number of different sizes of circular anechoic area, the larger 1.6 cm × 1.0 cm × 0.7 cm. Left and right sphincter resection in the combined spinal and epidural anesthesia, diseased tissue sent to postoperative pathological examination, confirmed as sphincter of cavernous lymphangioma. Follow-up 2 months, no recurrence. Conclusion According to the literature analysis, cavernous lymphangioma of spermatic cord is a rare benign tumor of spermatic cord. Generally, it has no obvious discomfort, and the tumor can grow slowly. Currently, diagnosis depends on postoperative pathological examination. For sphincter of cavernous lymphangioma resection should be as soon as possible, surgical resection is currently an effective method of treatment of the disease. Postoperative patients with good prognosis, should be long-term follow-up.