二维超声及彩色多普勒血流显像诊断精索静脉曲张80例分析

VALUE OF TWO-DIMENSIONAL ULTRASOUND AND COLOR DOPPLER FLOW IMAGING ON DIAGNOSIS OF VARICOCELE

目的探讨二维超声及彩色多普勒血流显像(CDFI)对精索静脉曲张(Varicocele,Vc)诊断的应用价值。方法对拟诊为Vc的患者80例行CDFI检查,记录卧位时病变处Vc的最大内径、平静呼吸及行Valsalva实验是否出现反流及反流的持续时间,将诊断结果与手术结果对照。结果与手术结果比较,彩超对Vc的诊断符合率为100%。Ⅰ度患者的反流率与Ⅱ度、Ⅲ度患者差异有统计学意义,但Ⅱ度与Ⅲ度患者的反流率比较差异无统计学意义。结论彩超是诊断Vc的重要方法,对治疗方式的选择有重要参考价值。

Objective To investigate the value of two- dimensional ultrasound and color doppler flow imaging （CDFI） on diagnosis of varicocele （Vc）. Methods 80 patients suspected as Vc were examined by two- dimensional ultrasound and CDFI, the maximum diameters were recorded, the regurgitation and regurgitation duration were compared with that of the surgery. Results Comparing with the results of operation, CDFI diagnosis accuracy was 100%. There was significant difference between the regurgitation rare of the degree Ⅰ and degree Ⅱ or that of degree Ⅲ （P〈0. 05）. However, there was no significant difference between regurgitation rate of the degree Ⅱ and that of degree Ⅲ （P〉0. 05）. Conclusion Color doppler may play an important role in the diagnosis of varicoeele.