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[阴囊彩色多普勒超声检查在精索静脉曲张切除术患者术后复查中的意义]

[Significance of scrotal Doppler color ultrasonography in the postoperative control of patients treated with varicocelectomy].

作者信息

Palazzo Silvano, Boezio Francesco, Mancini Vito, Martino Pasquale, Battaglia Michele, Garofalo Lucio, Selvaggi Francesco Paolo

机构信息

Sezione di Nefrologia Chirurgia e Trapianto di Rene, Dipartimento dell'Emergenza e dei Trapianti d'Organi-Università degli Studi di Bari.

出版信息

Arch Ital Urol Androl. 2002 Dec;74(4):247-9.

PMID:12508740
Abstract

ColorDoppler Ultrasound (CDU) is one of the principle methods in the post-operative diagnosis of recurring varicoceles. Aim of this study was valuate modifications of seminal parameters related to scrotal CDU results. In order to clarify varicoceles effect on fertility, these parameters have been related to pregnancy rate. We have studied 93 patients with varicoceles, undergone to venous "en bloch" legature from november 1994 to december 2000. Recurrence rate was 3.1% at post-operative scrotal CDU after 3 months. In patient with negative CDU, seminal quality improved (statistically significant results) and pregnancy rate was 41.4%. CDU has an important role in varicoceles, both at diagnosis and in post-operative follow-up. It is a quick and simple test, non-invasive and well-tolerated by patients. If associated with spermiogram, it is useful in order to show post-operative recurrences and surgical complications in patients treated with varicocelectomy.

摘要

彩色多普勒超声(CDU)是精索静脉曲张复发术后诊断的主要方法之一。本研究的目的是评估与阴囊CDU结果相关的精液参数变化。为了阐明精索静脉曲张对生育能力的影响,这些参数已与妊娠率相关联。我们研究了93例精索静脉曲张患者,他们在1994年11月至2000年12月期间接受了静脉“整块”结扎术。术后3个月阴囊CDU复查时复发率为3.1%。CDU检查结果为阴性的患者,精液质量有所改善(结果具有统计学意义),妊娠率为41.4%。CDU在精索静脉曲张的诊断和术后随访中都具有重要作用。它是一种快速、简单的检查,无创且患者耐受性良好。如果与精液分析相结合,它有助于显示精索静脉曲张切除术患者术后的复发情况和手术并发症。

相似文献

1
[Significance of scrotal Doppler color ultrasonography in the postoperative control of patients treated with varicocelectomy].[阴囊彩色多普勒超声检查在精索静脉曲张切除术患者术后复查中的意义]
Arch Ital Urol Androl. 2002 Dec;74(4):247-9.
2
Comparison of arterial blood supply to the testicles in the preoperative and early postoperative period in patients undergoing subinguinal varicocelectomy.腹股沟下精索静脉曲张切除术患者术前和术后早期睾丸动脉血供的比较。
Scand J Urol. 2015 Apr;49(2):169-73. doi: 10.3109/21681805.2014.956331. Epub 2014 Sep 8.
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Seminal improvement following repair of ultrasound detected subclinical varicoceles.超声检测到的亚临床精索静脉曲张修复后的精液改善。
J Urol. 1996 Apr;155(4):1287-90.
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Color Doppler ultrasound criteria to diagnose varicoceles: correlation of a new scoring system with physical examination.诊断精索静脉曲张的彩色多普勒超声标准:一种新评分系统与体格检查的相关性
Urology. 1997 Dec;50(6):953-6. doi: 10.1016/S0090-4295(97)00452-4.
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Varicoceles: postoperative prevalence--a prospective study with color Doppler US.精索静脉曲张:术后患病率——一项彩色多普勒超声的前瞻性研究
Radiology. 1993 Jun;187(3):711-4. doi: 10.1148/radiology.187.3.8497618.
6
Hemodynamic evaluation of varicocele: the role of scrotal scintigraphy and Doppler ultrasonography in the prediction of postoperative seminal improvement.精索静脉曲张的血流动力学评估:阴囊闪烁扫描和多普勒超声在预测术后精液改善中的作用。
Ann Nucl Med. 2005 Oct;19(7):529-34. doi: 10.1007/BF02985044.
7
[Male infertility due to varicocele: their diagnosis and treatment. Our experience].[精索静脉曲张所致男性不育:其诊断与治疗。我们的经验]
G Chir. 1995 Aug-Sep;16(8-9):377-80.
8
Is varicocelectomy indicated in subfertile men with clinical varicoceles who have asthenospermia or teratospermia and normal sperm density?对于患有临床精索静脉曲张、弱精子症或畸形精子症且精子密度正常的不育男性,精索静脉曲张切除术是否适用?
Int J Urol. 2007 Aug;14(8):729-32. doi: 10.1111/j.1442-2042.2007.01786.x.
9
The varicocele and male infertility.精索静脉曲张与男性不育症。
Urol Clin North Am. 1981 Feb;8(1):41-51.
10
Subinguinal microsurgical ligation--its effectiveness in pediatric and adolescent varicocele.
Scand J Urol Nephrol. 2003;37(1):53-4. doi: 10.1080/00365590310008703.

引用本文的文献

1
Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations.精索静脉曲张的超声评估:系统文献回顾及 ESUR-SPIWG 指南和建议的基本原理。
J Ultrasound. 2020 Dec;23(4):487-507. doi: 10.1007/s40477-020-00509-z. Epub 2020 Jul 27.
2
Ultrasound evaluation of varicoceles: guidelines and recommendations of the European Society of Urogenital Radiology Scrotal and Penile Imaging Working Group (ESUR-SPIWG) for detection, classification, and grading.精索静脉曲张的超声评估:欧洲泌尿生殖放射学会阴囊和阴茎成像工作组(ESUR-SPIWG)的检测、分类和分级指南及建议。
Eur Radiol. 2020 Jan;30(1):11-25. doi: 10.1007/s00330-019-06280-y. Epub 2019 Jul 22.