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多普勒听诊器在精索静脉曲张评估中的应用。

The use of the Doppler stethoscope in the evaluation of varicoceles.

作者信息

Greenberg S H, Lipshultz L I, Morganroth J, Wein A J

出版信息

J Urol. 1977 Mar;117(3):296-8. doi: 10.1016/s0022-5347(17)58439-6.

DOI:10.1016/s0022-5347(17)58439-6
PMID:839587
Abstract

Twenty-eight clinically detectable varicoceles of various sizes were examined with a Doppler ultrasonic stethoscope. Retrograde blood flow through the left internal spermatic vein was confirmed in all cases irrespective of size of the vascular abnormality. The Doppler stethoscope also was used to evaluate 13 patients suspected of having varicoceles but with inconclusive physical examinations. Retrograde flow through the internal spermatic vein could likewise be auscultated in 5 of these patients. Finally, the Doppler stethoscope was used to determine the adequacy of internal spermatic vein ligation in 5 postoperative patients whose seminal dysfunction persisted despite what appeared to be a surgically effective correction of aberrant gonadal venous flow.

摘要

使用多普勒超声听诊器对28例临床可检测到的不同大小的精索静脉曲张进行了检查。所有病例均证实有血液经左精索内静脉逆流,不论血管异常的大小如何。多普勒听诊器还用于评估13例疑似精索静脉曲张但体格检查结果不明确的患者。在其中5例患者中同样可听诊到血液经精索内静脉逆流。最后,多普勒听诊器用于确定5例术后患者精索内静脉结扎是否充分,这些患者尽管性腺静脉血流异常在手术中似乎已得到有效纠正,但仍存在精液功能障碍。

相似文献

1
The use of the Doppler stethoscope in the evaluation of varicoceles.多普勒听诊器在精索静脉曲张评估中的应用。
J Urol. 1977 Mar;117(3):296-8. doi: 10.1016/s0022-5347(17)58439-6.
2
A preliminary report of "subclinical varicocele": diagnosis by Doppler ultrasonic stethoscope. Examination and initial results of surgical therapy.“亚临床精索静脉曲张”的初步报告:用多普勒超声听诊器进行诊断。手术治疗的检查及初步结果。
J Reprod Med. 1979 Feb;22(2):77-81.
3
Doppler flow studies, venography and thermography in the evaluation of varicoceles of fertile and subfertile men.多普勒血流研究、静脉造影和热成像在评估生育能力正常和生育能力低下男性精索静脉曲张中的应用。
Br J Urol. 1980 Dec;52(6):560-5. doi: 10.1111/j.1464-410x.1980.tb03115.x.
4
The Doppler assessment of varicoceles and internal spermatic vein reflux in infertile men.
Br J Urol. 1980 Feb;52(1):50-6. doi: 10.1111/j.1464-410x.1980.tb02919.x.
5
Varicocele.精索静脉曲张
Urol Clin North Am. 1987 Aug;14(3):499-513.
6
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.
7
The Doppler stethoscope in the diagnosis of subclinical varicocele.多普勒听诊器在亚临床精索静脉曲张诊断中的应用
Br J Urol. 1980 Oct;52(5):390-1. doi: 10.1111/j.1464-410x.1980.tb03066.x.
8
Serum prolactin levels in spermatic, renal, and cubital veins during spermatic vein ligation.
Int J Fertil. 1981;26(2):138-40.
9
Correlation of testicular color Doppler ultrasonography, physical examination and venography in the detection of left varicoceles in men with infertility.睾丸彩色多普勒超声检查、体格检查及静脉造影在检测男性不育症患者左侧精索静脉曲张中的相关性
J Urol. 1991 Apr;145(4):785-8. doi: 10.1016/s0022-5347(17)38451-3.
10
Venography of the left internal spermatic vein in patients with fertility problems.对有生育问题的患者进行左侧精索内静脉造影。
Diagn Imaging. 1982;51(5):214-23.

引用本文的文献

1
Varicocele is associated with an increase of connective tissue of the pampiniform plexus vein wall.精索静脉曲张与蔓状静脉丛静脉壁结缔组织增多有关。
World J Urol. 2009 Jun;27(3):363-9. doi: 10.1007/s00345-008-0352-2. Epub 2008 Nov 22.
2
Relationship between varicocele grade, vein reflux and testicular growth arrest.精索静脉曲张分级、静脉反流与睾丸生长停滞之间的关系。
Pediatr Surg Int. 2008 Jun;24(6):727-30. doi: 10.1007/s00383-008-2143-7. Epub 2008 Apr 18.
3
Sequential scrotal scintigraphy for the study of varicocele.
Int Urol Nephrol. 1999;31(4):511-7. doi: 10.1023/a:1007119412947.
4
Low inguinal approach for correction of recurrent varicocele.低位腹股沟入路矫正复发性精索静脉曲张。
Int Urol Nephrol. 1998;30(1):69-73. doi: 10.1007/BF02550281.
5
Relationship between the left spermatic vein diameter measured by ultrasound and palpated varicocele and Doppler ultrasound findings.超声测量的左侧精索静脉直径与触诊精索静脉曲张及多普勒超声检查结果之间的关系。
Int Urol Nephrol. 1991;23(1):65-8. doi: 10.1007/BF02549730.