输精管结扎术后近期附睾的超声表现

Ultrasonographic changes in the epididym is after short-term vasectomy

目的：探讨输精管结扎术后近期对附睾大小的影响，获取术后近期附睾的影像学资料。方法选择60例自愿接受输精管结扎术的结扎对象，应用高频彩色多普勒超声于术前及术后1、2、3、6、12个月检查附睾及睾丸的大小。结果术后60例受术者双侧附睾均出现增厚，术后1个月与术前比较、术后2个月与术后1个月比较、术后3个月与术后2个月比较、术后6个月与术后3个月比较，差异均有统计学意义（P＜0.01）；术后12个月与术后6个月比较，差异无统计学意义（P＞0.05）。结论术后6个月内附睾呈进行性增厚，之后附睾基本恢复分泌-吸收平衡；中轻度VC不会加重输精管结扎后近期附睾淤积的程度。

ObjectiveTo study the effect of vasectomy on the size of epididymis, and obtain the postoperative imaging data of epididymis.Methods Sixty volunteers who underwent vasectomy were enrolled in the study. The size of their epididymis and testis were measured by the high frequency color Doppler before vasoligation and 1, 2, 3, 6 ,12 months after vasoligation,respectively.Results After the operation, bilateral epididymis of 60 volunteers were all thickened, there were significant differences between 1 month after surgery and preoperative, between 2 months after surgery and 1 month after surgery, between 3 months after surgery and 2 months after surgery, between 6 months after surgery and 3 months after surgery,.But there was no statistically significant difference （P〉0.05） between 12 months after surgery and 6 months after surgery.Conclusion The epididymis was thickening during 6 months after vasectomy,and 6 month later, the secretion-absorption balance of epididymis recovered. Mild VC did not increase the extent of the accumulation of epididymis after vasectomy.