中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
12期
1585-1587
,共3页
过新民%李正明%宋粤生%马文斌%李恒青%张志兴
過新民%李正明%宋粵生%馬文斌%李恆青%張誌興
과신민%리정명%송월생%마문빈%리항청%장지흥
精索静脉曲张%超声检查,多普勒,彩色%精液
精索靜脈麯張%超聲檢查,多普勒,綵色%精液
정색정맥곡장%초성검사,다보륵,채색%정액
Varicocele%Ultrasonography,doppler,volor%Semen
目的 探讨彩色多普勒超声(CDFI)对亚临床型精索静脉曲张(SVC)的诊断价值,分析和评估SVC对男性生育力的损害程度.方法 应用CDFI检测30例SVC患者精索静脉内径及反流情况,精液按WHO标准常规分析并对精子形态学进行评价,30例健康供精者彩色多普勒超声及精液检测结果作为对照.结果 SVC组精索静脉内径较对照组增宽[(1.94 ±0.28)mm与(1.36±0.15)mm,P<0.05],反流时间延长[(1.33±0.22)s与(0.43±0.16)s,P<0.05].SVC患者精子密度[(20.2±5.1)106/ml与(86.3±9.6)]106/ml、活率[(50.7±1.9)%与(78.5±3.6)]%、活力[(41.5 ±2.3)%与(58.7 ±2.6)]%均明显低于对照组(均P<0.05),且精子畸形率明显升高[(10.5 ±3.2)%与(4.8 ±1.7)%,P<0.05].结论 CDFI可提供精索静脉曲张形态和血流动力学改变的双重信息,对SVC的诊断具有较大的实用价值.结合精液质量分析可以估测患者生育力的损害程度,为SVC的治疗提供科学的依据.
目的 探討綵色多普勒超聲(CDFI)對亞臨床型精索靜脈麯張(SVC)的診斷價值,分析和評估SVC對男性生育力的損害程度.方法 應用CDFI檢測30例SVC患者精索靜脈內徑及反流情況,精液按WHO標準常規分析併對精子形態學進行評價,30例健康供精者綵色多普勒超聲及精液檢測結果作為對照.結果 SVC組精索靜脈內徑較對照組增寬[(1.94 ±0.28)mm與(1.36±0.15)mm,P<0.05],反流時間延長[(1.33±0.22)s與(0.43±0.16)s,P<0.05].SVC患者精子密度[(20.2±5.1)106/ml與(86.3±9.6)]106/ml、活率[(50.7±1.9)%與(78.5±3.6)]%、活力[(41.5 ±2.3)%與(58.7 ±2.6)]%均明顯低于對照組(均P<0.05),且精子畸形率明顯升高[(10.5 ±3.2)%與(4.8 ±1.7)%,P<0.05].結論 CDFI可提供精索靜脈麯張形態和血流動力學改變的雙重信息,對SVC的診斷具有較大的實用價值.結閤精液質量分析可以估測患者生育力的損害程度,為SVC的治療提供科學的依據.
목적 탐토채색다보륵초성(CDFI)대아림상형정색정맥곡장(SVC)적진단개치,분석화평고SVC대남성생육력적손해정도.방법 응용CDFI검측30례SVC환자정색정맥내경급반류정황,정액안WHO표준상규분석병대정자형태학진행평개,30례건강공정자채색다보륵초성급정액검측결과작위대조.결과 SVC조정색정맥내경교대조조증관[(1.94 ±0.28)mm여(1.36±0.15)mm,P<0.05],반류시간연장[(1.33±0.22)s여(0.43±0.16)s,P<0.05].SVC환자정자밀도[(20.2±5.1)106/ml여(86.3±9.6)]106/ml、활솔[(50.7±1.9)%여(78.5±3.6)]%、활력[(41.5 ±2.3)%여(58.7 ±2.6)]%균명현저우대조조(균P<0.05),차정자기형솔명현승고[(10.5 ±3.2)%여(4.8 ±1.7)%,P<0.05].결론 CDFI가제공정색정맥곡장형태화혈류동역학개변적쌍중신식,대SVC적진단구유교대적실용개치.결합정액질량분석가이고측환자생육력적손해정도,위SVC적치료제공과학적의거.
Objective To explore the diagnostic value of color doppler flow imaging (CDFI) on subclinical varicocele(SVC) and the weakening effect of SVC on male fertility.Methods Thirty patients with SVC were exam-ined by CDFI, the diameter and regurgitation duration of spermatic vein were recorded.All semen specimens were rou-tinely analyzed according to the WHO criteria for sperm morphology.Thirty healthy sperm donors were served as con-trols.Results CDFI displayed a widened diameter( 1.94±0.28 mm vs 1.36 ±0.15 mm, P < 0.05 ) and prolonged regurgitation duration[(1.33 ±0.22)s vs(0.43 ±0.16)]s,P<0.05)of spermatic vein in patients with SVC.Sperm density[(20.2±0.1)106/ml vs(86.3±0.6)]106/ml,motihty[(50.7±0.9)% vs(78.5±3.6)]% and vitality [(41.5 ±0.3)% vs (58.7 ±0.6)]% were significantly decreased in patients with SVC compared with those in con-trols (all P< 0.05) ,while the rate of teratospermia remarkably increased in SVC group[(10.5±0.2)vs(4.8±1.7 )]%(P< 0.05 ).Conclusion CDFI was clinically valuable for diagnosis of SVC for its revealing morphological and hemodynamic changes of varicocele.When combined with semen quality analysis,which evaluates the weakening effect of SVC on male fertility, CDFI was suitable to provide the appropriate clinical approaches for SVC therapy.
