CAJ | 학술논문

目的：探讨超声检测在梗阻性无精子不育症患者治疗中的临床应用价值。方法对129例育龄期男性无精子症患者通过超声检测生殖器，分析不同脏器异常、缺如情况及其在临床治疗中的意义。结果梗阻性无精子症患者129例258对相关脏器，各脏器超声异常检出率及缺如率总的来说差异有统计学意义（χ2＝393.581，P＝0.000）。异常检出率射精管为72.87％、附睾为48.45％、精囊为46.90％、睾丸为27.52％、输精管为8.91％；脏器缺如检出率精囊为24.42％、附睾为12.02％、输精管为11.63％、睾丸为1.16％、射精管为0.00％。结论超声检测可为临床判断梗阻性无精子症梗阻部位提供直观、精确和客观的依据，对临床选择治疗不育症方案有较大应用价值。
목적：탐토초성검측재경조성무정자불육증환자치료중적림상응용개치。방법대129례육령기남성무정자증환자통과초성검측생식기，분석불동장기이상、결여정황급기재림상치료중적의의。결과경조성무정자증환자129례258대상관장기，각장기초성이상검출솔급결여솔총적래설차이유통계학의의（χ2＝393.581，P＝0.000）。이상검출솔사정관위72.87％、부고위48.45％、정낭위46.90％、고환위27.52％、수정관위8.91％；장기결여검출솔정낭위24.42％、부고위12.02％、수정관위11.63％、고환위1.16％、사정관위0.00％。결론초성검측가위림상판단경조성무정자증경조부위제공직관、정학화객관적의거，대림상선택치료불육증방안유교대응용개치。
Objective To explore the clinical value of ulrtasonic detection technology in infertile men with obstructive azoospermia. Methods The reproduction organs of 129 infertile men with obstructive azoospermia were detected by ultrasonography , then the abnormal detection rate and its clinical significance were analyzed. Results There were significant differences in the abnormal detection rate and absence rate among various organs of 258 organs in 129 cases(χ2 =393.581,P=0.000).The abnormal detection rate of the organs in the sequence of decending was ejaculatory duct(72.87%), epididymis(48.45%), seminal vesicle(46.90%), testis(27.52%)and vas deferens (8.91%), while the absence rate was seminal vesicle (24.42%), epididymis(12.02%),vas deferens(11.63%), testis(1.16%), ejaculatory duct (0.00%).Conclusion Ulrtasonic detection technology can provide an objective basis for judging the obstructive site in infertile men with obstructive azoospermia , and the ultrasonic detection posses-ses important clinical value for treatment options in male infertility.