不育男性精索静脉曲张的超声诊断(附65例分析)

The diagnosis of varicocele by doppler ultrasound for infertile men(analysis of 65 cases)

目的 :探讨不育男性精索静脉曲张的超声诊断及临床意义。方法 :应用彩色多普勒超声筛查 2 6 8例不育男性的精索静脉 ,了解不育男性精索静脉曲张的发病率 ,并比较超声与临床触诊两种不同方法的诊断价值。结果 :2 6 8例就诊的不育男性患者中共发现精索静脉曲张患者 6 5例 ,占总数的 2 4 .3%。其中能通过触诊诊断的临床型患者 39例 ,占总数14 .5 % ( 39/ 2 6 8) ,而不能触诊的亚临床型 2 6例 ,占 9.7% ( 2 6 / 2 6 8)。静脉曲张的超声检出率与触诊相比两者有显著性差异(P <0 .0 5 ) ,与多普勒超声相比 ,静脉曲张触诊的敏感性是 6 0 .0 % ,可靠性是 95 .1% ,特异性是 99.0 %。结论 :不育男性精索静脉曲张的超声筛查十分必要 ,其诊断客观、可信 ,优于临床触诊。

Objective:To study the value of Doppler ultrasound in diagnosing varicocele of infertile men.Methods:Reports of 268 infertile men were reviewed to assess the prevalence of varicocele by color Doppler ultrasonography and compared to clinical findings.Results:65 varicocele of 268 patients were diagnose by ultrasonography with 24.5% prevalence,which has a significant difference with clinical palpation(14.5%).Conclusion:Ultrasound may more appropriately direct further valuable examination in diagnosing varicocele than clinical palpation.