325例男性不育患者阴囊彩色多普勒超声检查分析

Assessment of scrotal color sonography in the evaluation of male infertility among 325 cases

目的评价阴囊彩色多普勒超声作为男性不育患者常规检查的临床意义。方法本组共计325例男性不育患者,平均年龄32.6岁,常规进行阴囊彩色多普勒超声检查,并与临床体检进行对比。结果 325例患者中有202例(62.2%)发现有阴囊异常,其中有121例未被临床体检发现。所有阴囊异常中,左侧精索静脉曲张152例(占全部患者的46.8%),附睾囊肿18例(5.5%),睾丸内微小结石16例(4.9%),右侧精索静脉曲张12例(3.7%),睾丸鞘膜积液9例(2.8%),睾丸囊肿3例(0.9%)。与触诊比较,精索静脉曲张的的检出率超声是46.8%,而触诊仅24.9%,差异有统计学意义(P<0.01)。结论阴囊彩色多普勒超声作为男性不育患者的常规检查可以发现许多阴囊异常,与临床触诊相比,其结果更为客观、可信。

Aim To evaluated the clinical value of scrotal color Doppler ultrasonography as a routine examination in infertile men.Methods Color Doppler ultrasonography was applied to 325 infertile men with a mean age of 32.6 years to evaluate the performance of intrascrotal abnormalities.Results were compared to clinical findings.Results Intrascrotal abnormalities were discovered in 202（62.2%） patients by ultrasonography.Of whom 121 abnormalities were undiscovered by physical examination.Left varicocele was discoverd in 152 patients（46.8%）,epididymal cyst in 18（5.5%）,testicular microlithiasis in 16（4.9%）,right varicocele in 12（3.7%）,testicular hydrocele in 9（2.8%）,and testicular cysts in 3（0.9%）.Compared to the consequense of clinical palpation（24.0%）,Doppler ultrasonography had a higher prevalence of varicocele diagnosis.There were statistically significant differences between ultrasonography and clinical palpation（P0.05）.Conclusions It is by the routine scrotal color Doppler ultrasound that there are many scrotal abnormalities can be found in infertile men.Compared to physical examination,the results of scrotal color Doppler ultrasound are more objective and credible.