彩色多普勒超声在诊断精索静脉曲张中的价值

彭光生; 陈怡

彩色多普勒超声在诊断精索静脉曲张中的价值

彭光生,
陈怡

The value of Color Doppler Ultrasound in the diagnosis of varicocele

摘要

摘要: 目的：探讨彩色多普勒超声（彩超）诊断精索静脉曲张对临床指导作用。方法：回顾性分析50例精索静脉曲张患者阴囊彩超检查结果，记录精索静脉在平静呼吸时和站立位作Valsalva动作后内径及反流时间、睾丸体积，并与精索静脉正常者进行对比。结果：与对照组比较，精索静脉曲张时，其内径明显增宽（P<0.01），大部分伴走形迂曲，或呈网格状，且Valsalva动作时反流时间延长（P<0.01）。50例均为左侧精索静脉曲张可见左侧睾丸体积明显缩小（P<0.01）；同时合并右侧曲张3例。结论：彩超检查方便，廉价，快捷，可重复性强，结果准确，可作为诊断精索静脉曲张的首选方法。同时也可作为临床手术指征的重要参数之一。

Abstract: Objective: To investigate the value of Color Doppler Ultrasound in the diagnosis of varicocele for guiding clinic.Methods: The Color Doppler data of 50 cases with varicocele were retrospectively analyzed.The inside diameter and reflux time of varicocele and testicular volume in all patients were recorded at quiet breathing and standing after Valsalva action,which was compared with healthy people.Results: Compared with the control group,the inside diameter of varicocele widened obviously(P<0.01).The varicocele contorted and presented grid,its reflux time lengthened after Valsalva action(P<0.01).The left testis volume of the patients shrunk obviously(P<0.01),the left varicocele was the most common.Conclusions: Color Doppler ultrasound is convenient,cheap,fast,repeatable and accurate in diagnosing varicocele,which is an important index in clinical therapy.

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