Hirokawa M, Iwamoto T, Asakura S, Masuda M, Iwasaki A, Ikeda I, Fujii Y
Department of Urology, Fujisawa City Hospital, Kangawa-ken, Japan.
Urology. 1991 Jun;37(6):562-7. doi: 10.1016/0090-4295(91)80325-2.
A clinical study was done of 19 patients in our male infertility clinic, who were diagnosed as having a varicocele and showed atypical radionuclide accumulation in the dynamic image of scrotal scintigraphy. The semen quality was good in 26 percent and poor in 42 percent. Patients with severe congestion in the varicocele tended to be small in number. The dynamic images of the varicoceles were classified into two groups: one group with no radionuclide accumulation, and one group with patchy radionuclide accumulations. Surgical treatment was performed in patients with poor semen quality or with a long infertility period. Neither improvement in the semen quality nor impregnation was achieved postoperatively in patients who had shown no accumulation of the radionuclide in the dynamic imaging. In patients who had shown patchy radionuclide accumulations, the postoperative results were good. We concluded that preoperative dynamic imaging of scrotal scintigraphy is a good means of estimating the postoperative prognosis of fertility.
我们对男性不育门诊的19例患者进行了一项临床研究，这些患者被诊断为患有精索静脉曲张，并且在阴囊闪烁显像的动态图像中显示出非典型放射性核素积聚。精液质量良好的患者占26%，质量差的患者占42%。精索静脉曲张严重充血的患者数量往往较少。精索静脉曲张的动态图像分为两组：一组无放射性核素积聚，另一组有斑片状放射性核素积聚。精液质量差或不育时间长的患者接受了手术治疗。动态成像中未显示放射性核素积聚的患者术后精液质量未改善，也未受孕。在显示斑片状放射性核素积聚的患者中，术后结果良好。我们得出结论，术前阴囊闪烁显像的动态成像对于评估生育能力的术后预后是一种很好的方法。
