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[放射性核素阴囊显像:检测精索静脉曲张的有效方法]

[Radionuclide scrotal imaging: an effective method for detecting varicocele].

作者信息

Chen Di-Ping, Shao Wei-Min, Xu Peng, Qin Yong-De

机构信息

Department of Andrology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, China.

出版信息

Zhonghua Nan Ke Xue. 2008 Jul;14(7):614-7.

PMID:18686382
Abstract

OBJECTIVE

To evaluate radionuclide scrotal imaging (RSI) in the diagnosis of varicocele.

METHODS

We performed physical examination (PE) and RSI for 126 patients with infertility for at least 12 months and seminal abnormality, obtained the scrotal blood-pool index (SBPI), observed the reflux in the spermatic vein during RSI, typed and graded varicocele by color Doppler flow imaging (CDFI) and compared the results of PE and RSI with those of CDFI.

RESULTS

The rates of sensitivity and specificity of RSI in the diagnosis of varicocele (96.5% and 97.1%) were both higher than those of PE (71.7% and 69.1%).

CONCLUSION

Simple, accurate and noninvasive, RSI is an effective method for the diagnosis of clinical and subclinical varicocele.

摘要

目的

评估放射性核素阴囊显像(RSI)在精索静脉曲张诊断中的价值。

方法

对126例不育且精液异常至少12个月的患者进行体格检查(PE)和RSI,获取阴囊血池指数(SBPI),观察RSI期间精索静脉的反流情况,通过彩色多普勒血流成像(CDFI)对精索静脉曲张进行分型和分级,并将PE和RSI的结果与CDFI的结果进行比较。

结果

RSI诊断精索静脉曲张的敏感度和特异度(分别为96.5%和97.1%)均高于PE(分别为71.7%和69.1%)。

结论

RSI简单、准确且无创,是诊断临床型和亚临床型精索静脉曲张的有效方法。

相似文献

1
[Radionuclide scrotal imaging: an effective method for detecting varicocele].[放射性核素阴囊显像:检测精索静脉曲张的有效方法]
Zhonghua Nan Ke Xue. 2008 Jul;14(7):614-7.
2
Comparison of radionuclide scrotal blood-pool index versus gonadal venography in the diagnosis of varicocele.放射性核素阴囊血池指数与性腺静脉造影在精索静脉曲张诊断中的比较。
J Nucl Med. 1998 Jun;39(6):1069-74.
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[Value of color Doppler flow imaging in the diagnosis of subclinical varicocele].[彩色多普勒血流成像在亚临床型精索静脉曲张诊断中的价值]
Zhonghua Nan Ke Xue. 2005 Nov;11(11):815-7.
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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.
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Diagnosis of subclinical varicocele in infertility.不育症中亚临床精索静脉曲张的诊断。
AJR Am J Roentgenol. 1987 Jan;148(1):71-5. doi: 10.2214/ajr.148.1.71.
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Ultrasonographic parameters of the spermatic veins at the inguinal and scrotal levels in varicocele diagnosis and post-operative repair.精索静脉曲张诊断和术后修复的腹股沟和阴囊水平精索静脉的超声参数。
Andrologia. 2012 Jun;44(3):210-3. doi: 10.1111/j.1439-0272.2011.01207.x. Epub 2011 Dec 17.
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Color Doppler ultrasonography as a routine clinical examination in male infertility.彩色多普勒超声检查作为男性不育症的常规临床检查。
Int J Urol. 2006 Aug;13(8):1073-8. doi: 10.1111/j.1442-2042.2006.01499.x.
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[Bilateral varicocele: epidemiology, clinical presentation and diagnosis].
Urologiia. 2007 May-Jun(3):64-8.
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Spermatic vein Doppler examination: use and abuse.精索静脉多普勒检查:应用与滥用
J Med Liban. 1994;42(2):59-62.
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Comparative study between scrotal physical examination and scrotal ultrasonography in the detection of varicocele in men with infertility.阴囊体格检查与阴囊超声检查在检测不育男性精索静脉曲张中的对比研究。
J Med Assoc Thai. 1995 Mar;78(3):135-9.