| 叶攀 宋巍 张婷婷 胡海涛 徐明松.睾丸彩色多普勒超声在男性不育症中的临床价值[J].,2014,14(33):6520-6522 |
| 睾丸彩色多普勒超声在男性不育症中的临床价值 |
| The Clinical Value of Color Doppler Ultrasound for Male Infertility |
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| DOI： |
| 中文关键词: 睾丸 彩色多普勒超声 男性 不孕症 临床价值 |
| 英文关键词: Testicles Color doppler ultrasound Males Infertility Clinical value |
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| 中文摘要: |
| 目的：研究睾丸彩色多普勒超声(Color Doppler ultrasound，CDU)在男性不育症（Male infertility，MI）中的临床价值。方法：从
2012 年3月到2013 年3 月，选择56 例于我院就诊的疑似MI 患者作为研究对象。全部患者均予以CDU 诊断，分析所得诊断结
果。另根据精索静脉曲张（Cirsocele，CIR）情况进行分组，分成亚临床型CIR 组（Sub-clinical Cirsocele，SCIR）（8 例）与临床型CIR
组（Clinical Cirsocele，CCIR）（16 例），显示出两组患者的睾丸和附睾、精索静脉、睾丸内动脉(ITA)、睾丸包膜动脉(CA)；分析其收
缩期峰值血流速度(PSV)、舒张末期血流速度(EDV)、阻力指数(RI)与男性不孕症精液质量及与精子数量的相关性。结果：56 例受
检者中，共计37 例检出异常，占比66.07%，CCIR组的精索静脉最大内径（DR）、瓦氏试验最大内径（DV）、最大Vmax 及返流的持
续时间(TR)水平均显著高于SCIR 组，差异均有统计学意义（均P＜0.05）。根据Spearman 法进行分析后发现男性不孕症精液质量
及与精子数量与睾丸动脉(TA)、CA、PSV、EDV 均呈正相关，与RI 呈负相关；ITA、PSV、EDV与男性不孕症精液质量及与精子数
量均呈负相关，与RI均呈正相关;此外，睾丸内动脉数量越多，精子数量越少。结论：CDU对MI疾病的诊断价值较高，结果较为准
确，值得临床诊断推荐。 |
| 英文摘要: |
| Objective:To study the clinical value of color doppler ultrasound（CDU）for male infertility（MI）Methods:56 cases
of patients with suspected MI in our hospital administered from March 2012 to March 2013 were selected as research subjects. All
patients were given CDU for diagnosis, the diagnosis resulting were analysed. Patients were divided into SCIR group (8 cases) and CCIR
group (16 cases) according to CIR results. The testis and epididymis ,spermatic vein, ITA, CA and TA of the two groups of patients were
showed, and the relevance between its PSV, EDV, RI and sperm count and semen quality of the male infertility were analyzed.Results:In 56 cases of subjects, a total of 37 cases detected presented the result of anomalies, accounting for 66.07%.The Spermatic vein
maximum internal diameter (DR), Valsalva test maximum internal diameter (DV), the maximum duration of Vmax and regurgitation
(TR) of CCIR group were significantly higher than those of the SCIR group, the differences were statistically significant (P<0.05).
According to the Spearman method analysis, semen quality and spermcount of the male infertility were positively correlated with TA and
CA, PSV, EDV and negatively correlated with RI. The ITA, PSV, EDV were negatively correlated with male infertility and semen quality
and quantity of sperm, and positively correlated with RI. In addition, the greater the number of testicular artery is, the less sperms count.Conclusion:CDU has higher value in the diagnosis of diseases of MI, and the results are more accurate, which is worthy of clinical
diagnosis and recommendation. |
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