男性不育患者阴囊彩色多普勒超声检查结果分析

Assessment of scrotal color sonography in the evaluation of male infertility

目的探讨彩色多普勒超声在男性不育症病因筛查的临床意义。方法总结168例男性不育症患者的超声检查资料,并与临床对比。结果超声精索静脉曲张的检出率38.7%,而触诊的阳性率21.5%。差异有统计学意义(P<0.05)。少、弱精症与正常精液组在睾丸超声异常率、附睾超声异常率、精索静脉异常率相比,均高于后者,二者差异有统计学意义(P<0.05)。无精症及重度少精症患者与正常精液组相比较,仅仅在睾丸超声异常率明显高于后者,二者差异有统计学意义(P<0.05)。无精症及重度少精症患者与少、弱精症组相比较,仅仅在睾丸超声异常率明显高于后者,二者差异有统计学意义(P<0.05)。结论彩色多普勒超声对男性不育患者的病因筛查有重要意义。

Objective To evaluate the clinical value of scrotal color Doppler ultrasonography as a routine exami- nation in infertile men. Methods Color Doppler ultrasonography was applied to 168 cases of male infertility patients, results of ultrasound examination data were compared with clinical symptoms. Results The ultrasonic varicocele de- tection rate was 38.7%, and the positive touch rate was 21.5%.The difference was statistically significant（P〈0.05）. Oligospermia and asthenospermia in normal semen group in the rate of abnormal testicular ultrasound,ultrasound ab- normality rate of epididymis, and spermatic vein abnormalities rate were less than that of infertility group, the difference was statistically significant （P〈0.05）. Patients group with idiopathic azoospermia and severe oligozoospermia compared with normal semen group, only the testicular ultrasound abnormality rate was significantly higher, the dif- ference was statistically significant（P〈0.05）. Patients with idiopathic azoospermia and severe oligozoospermia compared with oligospermia and asthenospermia group, only the testicular ultrasound abnormality rate was significantly higher, the difference was statistically significant （P〈0.05）. Conclusion Scrotal color Doppler ultrasonography screening on the causes of male infertility patients has important significance.