Lardennois B, Lomina D, el Khansa A, Brandt B
J Urol (Paris). 1986;92(4):239-42.
Ultrasound imaging to verify effective emptying of seminal vesicles is proposed, during spermograms included in investigation of couple sterility. The aim is to detect distal obstructive seminopathies, often unilateral and inaccessible to enzymatic analysis of sperm. A review of recently drafted case reports of 41 sterile men showed that in half of them an insufficient ejaculate volume always corresponded to poor emptying of seminal vesicles as seen on ultrasound images. If an obstruction is present it is usually in the ejaculatory canal zones. Two patients with azoospermia were treated by endoscopic resection of terminal part of ejaculatory canals with only one good result in the spermogram. With respect to counting of spermatozoa, it is not possible in patients with decreased emptying of seminal vesicles, a part from those with azoospermia, to establish any correlation between type of obstructive seminopathy and its effect on the spermogram. Of the 41 men in this series, a half had problems with their partner and the other half another known sterility factor.
在对不育夫妇进行调查的精液检查过程中，建议采用超声成像来验证精囊是否有效排空。目的是检测远端梗阻性精子疾病，这类疾病通常为单侧，且无法通过精子酶分析检测。对最近起草的41例不育男性病例报告的回顾显示，其中一半患者的射精量不足总是与超声图像上显示的精囊排空不良相对应。如果存在梗阻，通常位于射精管区域。两名无精子症患者接受了射精管末端的内镜切除术，精液检查仅有一例结果良好。关于精子计数，对于精囊排空减少的患者（无精子症患者除外），无法确定梗阻性精子疾病类型与其对精液检查结果的影响之间的任何相关性。在该系列的41名男性中，一半与伴侣存在问题，另一半存在其他已知的不育因素。
