经直肠超声诊断精囊炎  

Diagnosis of Cystospermitis by Transrectal Ultrasound

作　　者：范海涛[1] 王伟华[2] 

机构地区：[1]吉林大学第二医院泌尿外科,吉林长春130041 [2]吉林大学中日联谊医院泌尿外科,吉林长春130033

出　　处：《医学临床研究》2008年第7期1162-1163,1166,共3页Journal of Clinical Research

基　　金：中日政府间专项技术合作项目第59项(JICA援助项目)

摘　　要：【目的】探讨经直肠超声(TRUS)在精囊炎诊断中的价值。【方法】2000年9月至2006年5月就诊精囊炎患者391例,进行TRUS检查精囊情况,测量双侧精囊的短径。【结果】精囊炎声像改变,表现为精囊界限不清,内部回声不均匀,扩张腺管增厚、管壁毛糙,内部可见往复流动的点状囊液回声。彩色多普勒显示急性精囊炎(n=123)精囊内部及周围血流信号明显增多,血流速度增高;慢性精囊炎(n=268)精囊内部及周围血流信号略增多,血流速度略增快或变化不明显。急性精囊炎组精囊短径为(1.72±0.17)cm,慢性精囊炎组为(1.13±0.20)cm,正常对照组(n=30)为(0.86±0.09)cm。各组之间比较差异有极显著性意义(P<0.01)。【结论】TRUS诊断精囊炎操作简单,患者容易接受,对临床有较高的参考价值。[Objective]To explore the application of transrectal uhrasound（TRUS） in diagnosis of cysto spermitis. [Methods]TRUS was used to diagnose 391 cases of cystospermitis from September 2000 to May 2006. Short diameters of both sides were measured. [Results] Limit of seminal vesicle was unclear and inner echo was uneven. Vessel wall was crude and dilated thickening glandular tube could be seen. There was mobile punctiform hydatid fluid echo in it. There was more blood signal and high blood flow rate in acute cystospermitis. On the contrary, there was no obvious change in chronfc cystospermitis. Short diameters were （1.72±0. 17）cm, （1.13±0.20）cm and （0.86±0.09）cm in acute cystospermitis group, chronic cystospermitis group and normal control, respectively. Difference was significant （ P 〈0.01）. [Conclusion] It is easy for diagnosis of cystospermitis by TRUS. Patients could endure little pain and be apt to accept it. It could offer more reference to clinical work.

关 键 词：精囊/超声检查 直肠/超声检查 

分 类 号：R697.2[医药卫生—泌尿科学]