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犬睾丸、附睾和前列腺的彩色编码及脉冲多普勒超声检查:生理和病理结果

Colour-coded and pulsed Doppler sonography of the canine testis, epididymis and prostate gland: physiological and pathological findings.

作者信息

Günzel-Apel A R, Möhrke C, Poulsen Nautrup C

机构信息

Institute for Reproductive Medicine, School of Veterinary Medicine, Hannover, Germany.

出版信息

Reprod Domest Anim. 2001 Oct;36(5):236-40. doi: 10.1046/j.1439-0531.2001.00288.x.

Abstract

Two-dimensional ultrasound was used in combination with colour-coded and pulsed Doppler sonography to study the blood flow of the testes and prostate gland in a total of 30 male dogs. After detection of the vessels by colour-coded Doppler sonography, the blood flow patterns were determined by pulsed Doppler sonography measuring and describing the systolic and diastolic peak velocity (SPV, DPV), the end-diastolic velocity, the time-averaged maximum velocity (TAMAX), the pulsatility and resistance index, as well as the ratios of the systolic peak velocity and end-diastolic velocity and of the systolic and diastolic peak velocities. The blood flow of the testicular artery was measured within the pampiniform plexus and the marginal location. The prostatic blood supply was measured in the artery of the deferential duct (cranial), the prostatic artery outside (lateral) and within the gland (subcapsular). The physiological testicular flow pattern was monophasic with a high diastolic flow. Testes with neoplastic alterations showed a significant increase of SPV and TAMAX. The epididymal vessels could not be detected. Under physiological conditions the prostatic blood flow pattern was biphasic in the cranial and lateral location and monophasic in the subcapsular location. Benign prostatic hyperplasia was characterized by a significant increase of SPV, DPV and TAMAX. The results of the present investigation demonstrate that the colour-coded and pulsed Doppler sonography give additional valuable information which improves the andrological diagnostics in the dog.

摘要

采用二维超声联合彩色编码和脉冲多普勒超声检查,对30只雄性犬的睾丸和前列腺血流情况进行研究。通过彩色编码多普勒超声检测血管后,用脉冲多普勒超声测量并描述收缩期和舒张期峰值流速(SPV、DPV)、舒张末期流速、时间平均最大流速(TAMAX)、搏动指数和阻力指数,以及收缩期峰值流速与舒张末期流速之比和收缩期与舒张期峰值流速之比,从而确定血流模式。在蔓状静脉丛内和边缘位置测量睾丸动脉的血流。在输精管动脉(头侧)、前列腺外侧动脉和前列腺内(被膜下)测量前列腺的血供。正常睾丸血流模式为单相,舒张期血流较高。发生肿瘤性改变的睾丸SPV和TAMAX显著增加。未检测到附睾血管。在生理条件下,前列腺头侧和外侧位置的血流模式为双相,被膜下位置为单相。良性前列腺增生的特征是SPV、DPV和TAMAX显著增加。本研究结果表明,彩色编码和脉冲多普勒超声可提供额外的有价值信息,有助于改善犬的男科学诊断。

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