高频超声对非性功能障碍男性不育患者阴囊疾病的诊断价值分析

发布时间：2018-03-06 01:26

本文选题：阴囊　切入点：不育　出处：《中国全科医学》2017年30期 　论文类型：期刊论文

【摘要】：目的探讨高频超声对非性功能障碍男性不育患者阴囊疾病的诊断价值。方法回顾性分析2014年1月—2016年1月北京大学第三医院的非性功能障碍男性不育症患者阴囊高频超声检查结果及图像特点,主要包括睾丸、附睾、输精管阴囊部、睾丸鞘膜腔及精索静脉的形态结构、内部回声及血流动力学等信息。结果共选择男性不育症患者1 645例,高频超声检查显示阴囊异常发生率为76.8%(1 264/1 645)。睾丸异常发生率为35.0%(575/1 645),包括睾丸体积小249例(15.1%)、睾丸实质回声不均匀95例(5.8%)等;附睾异常发生率为59.9%(986/1 645),包括附睾囊肿582例(35.4%)、附睾体积增大153例(9.3%)等;输精管阴囊部异常发生率为1.8%(29/1 645),包括输精管阴囊部增粗、扩张、狭窄、闭塞;睾丸鞘膜腔异常发生率为4.4%(73/1 645),包括睾丸鞘膜腔积液52例(3.2%)和睾丸鞘膜腔结石21例(1.3%);精索静脉曲张发生率为34.5%(567/1 645),包括左侧396例(24.1%)、双侧147例(8.9%)、右侧24例(1.5%)。结论高频超声可以清晰显示睾丸、附睾、输精管阴囊部、睾丸鞘膜腔和精索静脉正常及异常声像图,对男性不育者进行阴囊高频超声检查,有助于临床获得部分先天及后天影响男性不育的诊断和治疗依据。
[Abstract]:Objective to investigate the diagnostic value of high frequency ultrasound on scrotal diseases in infertile men with non-sexual dysfunction. Methods the scrotal diseases of male infertility with non-sexual dysfunction in Peking University from January 2014 to January 2016 were retrospectively analyzed. High frequency ultrasonic examination results and image characteristics, The main information included testis, epididymis, vas deferens scrotum, testicular sheath cavity and spermatic vein, internal echo and hemodynamics. The incidence of abnormal scrotum and testicular abnormality was 76.8% and 35.0% respectively, including testicular volume in 249 cases and parenchymal echo in 95 cases. The incidence of abnormal epididymis was 59.9% / 1,645, including 582 cases of epididymal cyst and 35.4% of epididymal cyst, 153 cases of increased volume of epididymis were involved), the abnormal rate of vas deferens scrotum was 1.8% 29 / 1645%, including the enlargement, dilatation, stenosis and occlusion of the vas deferens scrotum. The abnormal rate of testicular sheath cavity was 4.4% 73 / 1,645, including 52 cases of testicular hydrocele and 1.2% of testicular hydrocele, and 21 cases of testicular luminal calculus, and the incidence of varicocele was 34.5% 567 / 1645%, including 396 cases of left side with 24.1%, 147 cases of bilateral side with 8.9%, and 24 cases of right side with 1.5 min. Conclusion the incidence of varicocele is 1. 5%. The sound clearly shows the testicles, In epididymis, vas deferens scrotum, testicular sheath cavity and spermatic vein, normal and abnormal sonograms were used to examine male infertility by high-frequency scrotum ultrasound, which was helpful to obtain some diagnostic and therapeutic evidences of congenital and acquired male sterility.
【作者单位】：北京大学第三医院超声科;清华大学医院超声科;
【分类号】：R445.1;R698.2

【相似文献】