Erdogmus Besir, Yazici Burhan, Balbay Oner, Annakkaya Ali Nihat, Ozdere Betul Ayca, Bulut Ismet
Department of Radiology, Abant Izzet Baysal University, Duzce Medical School, Kenuralp 81620, Duzce, Turkey.
J Clin Ultrasound. 2006 Feb;34(2):55-9. doi: 10.1002/jcu.20195.
To evaluate the relationship between varicocele and chronic obstructive pulmonary disease (COPD) via color duplex sonography.
Forty-four male patients with COPD (age range, 50-89 years; mean +/- SD, 66 +/- 9) and 44 male healthy controls (age range, 47-75 years; mean +/- SD, 65 +/- 6) were evaluated with color duplex sonography for unilateral or bilateral varicocele.
The incidence of right, left, and bilateral varicocele was 47.7%, 65.9%, and 38.6% respectively, in the COPD group, versus 22.7%, 52.3%, and 13.6% in the control group. The incidence of right and bilateral varicocele in the COPD group was significantly higher than in the control group (p < 0.05). The incidence of varicocele also increased with increase in COPD severity.
The incidence of varicocele in COPD patients is high. Varicocele might be one of the most important causes of scrotal pain and infertility in COPD patients.
通过彩色双功超声评估精索静脉曲张与慢性阻塞性肺疾病（COPD）之间的关系。
对44例男性慢性阻塞性肺疾病患者（年龄范围50 - 89岁；平均±标准差，66±9）和44例男性健康对照者（年龄范围47 - 75岁；平均±标准差，65±6）进行彩色双功超声检查，以评估单侧或双侧精索静脉曲张情况。
COPD组右侧、左侧及双侧精索静脉曲张的发生率分别为47.7%、65.9%和38.6%，而对照组分别为22.7%、52.3%和13.6%。COPD组右侧及双侧精索静脉曲张的发生率显著高于对照组（p < 0.05）。精索静脉曲张的发生率也随着COPD严重程度的增加而升高。
COPD患者中精索静脉曲张的发生率较高。精索静脉曲张可能是COPD患者阴囊疼痛和不育的最重要原因之一。
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