Department of Radiology, Medical School, Dicle University , Yenişehir, 21280 Diyarbakır , Turkey.
Mod Rheumatol. 2014 Jan;24(1):162-5. doi: 10.3109/14397595.2013.854047.
To evaluate the relationship between varicocele and ankylosing spondylitis (AS) via color duplex sonography (CDS).
Thirty male patients (age range 18-40 years, mean age 30.27 years) with AS and 30 male healthy controls (age range 20-36 years, mean age 27.23 years) were evaluated for varicocele using CDS.
Vein diameter in right and left pampiniform plexus (PP) in the AS group was significantly higher than in the control group (p < 0.001 and p = 0.003, respectively). The incidence of varicocele was observed as 33.3 % in the AS group and 10 % in the control group. However, the difference was statistically significant (p = 0.028). The rate of right, left, and bilateral varicocele was 3.3 % (1 patient), 23.3 % (7 patients), and 6.6 % (2 patients), respectively, in the AS group, versus 0, 10, and 0 % in the control group (p = 1.000, p = 0.166, and p = 0.492, respectively).
The incidence of varicocele in AS patients is higher than in control subjects, and the difference is statistically significant. Therefore, varicocele must be taken into consideration and investigated in patients with AS.
通过彩色双功能超声（CDS）评估精索静脉曲张与强直性脊柱炎（AS）之间的关系。
对 30 例（年龄 18-40 岁，平均年龄 30.27 岁）AS 男性患者和 30 例健康男性对照者（年龄 20-36 岁，平均年龄 27.23 岁）进行 CDS 精索静脉曲张检查。
AS 组右侧和左侧精索蔓状静脉丛（PP）的静脉直径明显高于对照组（p < 0.001 和 p = 0.003）。AS 组精索静脉曲张的发生率为 33.3%，对照组为 10%，差异有统计学意义（p = 0.028）。AS 组右侧、左侧和双侧精索静脉曲张的发生率分别为 3.3%（1 例）、23.3%（7 例）和 6.6%（2 例），而对照组分别为 0、10 和 0%（p = 1.000、p = 0.166 和 p = 0.492）。
AS 患者精索静脉曲张的发生率高于对照组，差异有统计学意义。因此，在 AS 患者中必须考虑并检查精索静脉曲张。
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