[1]赵克刚,周宏伟,张艳华,等.彩色多普勒超声诊断男性不育精索静脉曲张的价值[J].医学信息,2021,34(01):170-172.[doi:10.3969/j.issn.1006-1959.2021.01.047]
　ZHAO Ke-gang,ZHOU Hong-wei,ZHANG Yan-hua,et al.The Value of Color Doppler Ultrasound in Diagnosing Male Infertile Varicocele[J].Medical Information,2021,34(01):170-172.[doi:10.3969/j.issn.1006-1959.2021.01.047]
点击复制

彩色多普勒超声诊断男性不育精索静脉曲张的价值()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年01期
页码:
170-172
栏目:
诊疗技术
出版日期:
2021-01-01

文章信息/Info

Title:
The Value of Color Doppler Ultrasound in Diagnosing Male Infertile Varicocele
文章编号:
1006-1959（2021）01-0170-03
作者:
赵克刚; 周宏伟; 张艳华; 等
（云南省玉溪市人民医院超声科，云南 玉溪 653100）
Author(s):
ZHAO Ke-gang; ZHOU Hong-wei; ZHANG Yan-hua; et al.
(Department of Ultrasound,Yuxi People’s Hospital,Yuxi 653100,Yunnan,China)
关键词:
彩色多普勒超声; 男性; 不育; 精索静脉曲张; 准确性
Keywords:
Color Doppler ultrasound; Male; Infertility; Varicocele; Accuracy
分类号:
R445.1；R699.8
DOI:
10.3969/j.issn.1006-1959.2021.01.047
文献标志码:
A
摘要:
目的 研究彩色多普勒超声在男性不育精索静脉曲张（VC）中的诊断价值及准确性。方法 选择2019年3月~2020年3月我院收治的50例不育VC患者作为实验组，并将同期体检的50例无生殖系统疾病者设置为对照组，均进行彩超检查，比较两组超声指标[反流持续时间（TR）、最大反流速度（Vmax）、舒张期流速（DV）]、睾丸回声强度、睾丸体积、精子存活率、精子密度及睾丸萎缩率。结果 实验组TR（2.56±1.47）s、Vmax（7.55±2.31）cm/s、DV（3.25±0.96）mm均大于对照组的（0.35±0.06）s、（3.14±1.23）cm/s、（1.67±0.22）mm，差异有统计学意义（P＜0.05）；实验组睾丸回声强度、睾丸体积均低于对照组，差异有统计学意义（P＜0.05）；实验组精子存活率（48.74±16.26）%、精子密度（53.38±15.46）×106/ml均小于对照组（55.48±14.79）%、（86.43±24.94）×106/ml，差异有统计学意义（P＜0.05）；实验组睾丸萎缩率（24.00%）大于对照组（0），差异有统计学意义（P＜0.05）。结论 彩色多普勒超声检查可有效诊断男性不育精索静脉曲张，为临床治疗提供参考依据。
Abstract:
Objective To study the diagnostic value and accuracy of color Doppler ultrasound used in male infertile varicocele (VC).Methods 50 cases of infertile varicocele patients received in our hospital from March 2019 to March 2020 were set as the experimental group, and 50 patients without reproductive system diseases who were examined in the same period were set as the control group. Color Doppler ultrasound examination was performed to compare the two sets of ultrasound indexes [reflux duration (TR), maximum reflux velocity (Vmax), diastolic flow velocity (DV)], testicular echo intensity, testicular volume, sperm survival rate, sperm density and testicular atrophy rate.Results The TR (2.56±1.47) s, Vmax (7.55±2.31) cm/s, and DV (3.25±0.96) mm of the experimental group were larger than those of the control group (0.35±0.06) s, (3.14±1.23) cm/s, (1.67) ±0.22) mm, the difference was statistically significant (P＜0.05);The testicular echo intensity and testicular volume of the experimental group were lower than those of the control group,the difference was statistically significant (P＜0.05); the sperm survival rate of the experimental group was (48.74±16.26)% and the sperm density (53.38±15.46)×106/ml were all less than the control group (55.48±14.79)%, (86.43±24.94)×106/ml, the difference was statistically significant (P＜0.05); the testicular atrophy rate of the experimental group (24.00%) was greater than that of the control group (0), the difference was statistically significant (P<0.05).Conclusion Color Doppler ultrasound can effectively diagnose male infertile varicocele and provide a reference for clinical treatment.

参考文献/References:

[1]Patil V,Shetty SM,Das SK.Redefining the Criteria for Grading Varicoceles Based on Reflux Times: A Clinicoradiological Correlation[J].Ultrasound Q,2016,32(1):82-85. [2]乔永峰,李亚丹,何宝明,等.精索静脉曲张对不育患者精液质量的影响[J].临床医学研究与实践,2019,4(23):124-125,131. [3]Belay RE,Huang GO,Shen KC,et al.Diagnosis of clinical and subclinical varicocele:how has it evolved[J].Asian Journal of Andrology,2016(2):182-185. [4]中华医学会.男科疾病诊治指南[M].北京:人民卫生出版社,2007. [5]韩志芬,康佳,胡敏,等.超声观察急性剧烈运动对精索静脉曲张患者的临床观察[J].影像研究与医学应用,2019,3(5):12-14. [6]贺彦明.超声实时弹性成像技术评估精索静脉曲张不育症患者睾丸生精功能的临床价值[J].现代诊断与治疗,2018,29(7):1110-1112. [7]黎晋宇,金明昱,袁少英,等.彩色多普勒高频超声在精索静脉曲张不育症检查中的价值[J].蚌埠医学院学报,2018,43(3):371-373,378. [8]Hallak J.Asymptomatic male currently not desiring fertility with bilateral subclinical varicocele found on ultrasound evaluation and borderline semen analysis results[J].Asian J Androl,2016,18(2):315-316. [9]王新会,张卫星,王瑞,等.睾丸动脉及精索静脉血流流速与精液质量的关系[J].河南医学研究,2017,26(4):591-593. [10]谢军,李庆.超声弹性成像应变率比值评估精索静脉曲张患者睾丸硬度的研究[J].临床超声医学杂志,2017,19(4):246-248. [11]苏剑,黄芳,王克蓉,等.通过实时超声组织弹性成像技术探讨精索静脉曲张患者睾丸质地与精液质量的相关性[J].现代医用影像学,2016,25(6):1209-1210. [12]童燕燕,刘巨方,崔贤炉,等.精索静脉曲张患者不同体位不同状态下精索静脉内径参数与精液检测结果的相关性分析[J].中华男科学杂志,2016,22(8):710-714. [13]赵德威,王大亚,倪立董,等.超声弹性检查对精索静脉曲张患者睾丸生精功能的评价价值[J].中国性科学,2020,29(5):16-18. [14]罗永科,李培英,邵春晖,等.彩色多普勒超声检测睾丸微石症合并精索静脉曲张患者睾丸动脉与精索静脉血流动力学的临床分析[J].现代生物医学进展,2017,17(15):2969-2971,2986. [15]温宇楠.彩色多普勒超声诊断精索静脉曲张的价值研究及分析[J].中国医疗器械信息,2018,24(15):79-80.

相似文献/References:

[1]黄琼娥,徐应波.男性吸烟与骨密度及骨生化指标关系的调查与分析[J].医学信息,2018,31(01):110.[doi:10.3969/j.issn.1006-1959.2018.01.041]
　HUANG Qiong-e,XU Ying-bo.Investigation and Analysis of the Relationship between Male Smoking and Bone Mineral Density and Bone Biochemical Index[J].Medical Information,2018,31(01):110.[doi:10.3969/j.issn.1006-1959.2018.01.041]
[2]白玲玲.彩色多普勒超声在下肢深静脉血栓诊断中的价值[J].医学信息,2018,31(02):152.[doi:10.3969/j.issn.1006-1959.2018.02.058]
　BAI Ling-ling.Value of Color Doppler Ultrasound in the Diagnosis of Deep Vein Thrombosis of Lower Extremities[J].Medical Information,2018,31(01):152.[doi:10.3969/j.issn.1006-1959.2018.02.058]
[3]高 静,李 晴,张婷芳,等.光动力疗法治疗男性不同部位顽固性尖锐湿疣临床疗效观察[J].医学信息,2018,31(05):84.[doi:10.3969/j.issn.1006-1959.2018.05.000]
　GAO Jing,LI Qing,ZHANG Ting-fang,et al.Clinical Observation of Photodynamic Therapy for Intractable Condyloma Acuminatum in Different Parts of Men[J].Medical Information,2018,31(01):84.[doi:10.3969/j.issn.1006-1959.2018.05.000]
[4]杜 丽.彩色多普勒超声诊断鉴别甲状腺良恶性肿瘤的效果评价[J].医学信息,2018,31(05):162.[doi:10.3969/j.issn.1006-1959.2018.05.059]
　DU Li.Evaluation of the Effect of Color Doppler Ultrasound in the Diagnosis and Differentiation of Benign and Malignant Thyroid Tumors[J].Medical Information,2018,31(01):162.[doi:10.3969/j.issn.1006-1959.2018.05.059]
[5]郑 莉.经阴道彩色多普勒超声早期诊断宫外孕的临床价值分析[J].医学信息,2018,31(09):159.[doi:10.3969/j.issn.1006-1959.2018.09.052]
　ZHENG Li.Clinical Value of Transvaginal Color Doppler Ultrasound in the Early Diagnosis of Ectopic Pregnancy[J].Medical Information,2018,31(01):159.[doi:10.3969/j.issn.1006-1959.2018.09.052]
[6]方 静,苏建芬.宫颈内口处彩色多普勒超声诊断价值[J].医学信息,2018,31(18):152.[doi:10.3969/j.issn.1006-1959.2018.18.049]
　FANG Jing,SU JIan-fen.Diagnostic Value of Color Doppler Ultrasonography in Cervical Intraoral Region[J].Medical Information,2018,31(01):152.[doi:10.3969/j.issn.1006-1959.2018.18.049]
[7]郑 文,韦舒静,陈宝峰.男性膀胱颈变化及其与年龄、下尿路症状的相关性研究[J].医学信息,2019,32(17):75.[doi:10.3969/j.issn.1006-1959.2019.17.023]
　ZHENG Wen,WEI Shu-jing,CHEN Bao-feng.Changes of Bladder Neck in Males and their Correlation with Age and Lower Urinary Tract Symptoms[J].Medical Information,2019,32(01):75.[doi:10.3969/j.issn.1006-1959.2019.17.023]
[8]赵 萍.初诊青年2型糖尿病临床特点及危险因素分析[J].医学信息,2019,32(16):102.[doi:10.3969/j.issn.1006-1959.2019.16.032]
　ZHAO Ping.Analysis of Clinical Features and Risk Factors of Type 2 Diabetes in Newly Diagnosed Youth[J].Medical Information,2019,32(01):102.[doi:10.3969/j.issn.1006-1959.2019.16.032]
[9]谢 晨,郭仲谦,张广政,等.郑州农村汉族男性27个Y-STR遗传多态性及多民族间遗传距离的比较[J].医学信息,2020,33(03):74.[doi:10.3969/j.issn.1006-1959.2020.03.022]
　XIE Chen,GUO Zhong-qian,ZHANG Guang-zheng,et al.Comparison of 27 Y-STR Genetic Polymorphisms and Genetic Distance Among Ethnic Groups in Rural Han Males in Zhengzhou[J].Medical Information,2020,33(01):74.[doi:10.3969/j.issn.1006-1959.2020.03.022]
[10]许生样.杭州地区男性人乳头瘤病毒感染特征分析[J].医学信息,2020,33(05):137.[doi:10.3969/j.issn.1006-1959.2020.05.043]
　XU Sheng-yang.Characteristics of Human Papillomavirus Infection in Male in Hangzhou[J].Medical Information,2020,33(01):137.[doi:10.3969/j.issn.1006-1959.2020.05.043]

更新日期/Last Update: 1900-01-01