附睾囊肿诊断及对梗阻性无精子症的诊断价值  

Diagnostic value of epididymal cyst for obstructive azoospermia

作　　者：谢伟[1] 檀大羡[1] 张海英[2] 

机构地区：[1]广西壮族自治区人口和计划生育研究中心生殖医学科,广西南宁530021 [2]广西壮族自治区人口和计划生育研究中心超声医学科,广西南宁530021

出　　处：《中国计划生育和妇产科》2011年第3期32-34,共3页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的评价附睾囊肿诊断及在梗阻性无精子症(obstructive azoospermia,OA)诊断中的价值。方法将2010年初步诊断为梗阻性无精子症患者105例,其中同意进行附睾穿刺(percutaneous epididymalsperm aspiration,PESA)97例,使用彩色多普勒超声等综合诊断是否有附睾囊肿。将其分为附睾囊肿组和非附睾囊肿组,比较附睾囊肿和有无精子的关系;同时分析附睾囊肿部位和取精情况。结果附睾囊肿组有精子的发生率要高于无附睾囊肿组(P<0.05),彩色多普勒超声和体格检查均可以作为附睾囊肿的诊断方法,差异无统计学意义(P>0.05)。结论梗阻性无精子症可以伴随附睾囊肿,附睾囊肿可以辅助分析无精子症的类型,辅助定位PESA的穿刺部位。Objective To study diagnostic value of epididymal cyst for obstructive azoospermia（OA）.Methods The data was from 97 patients who agreed to percutaneous epididymal sperm aspiration（PESA） among 105 patients primarily diagnosed as OA in 2010-year.The 97 patients were divided into two groups according to epididymal cyst diagnosed by Color Doppler ultrasound.The relationship between sperm/azoospermia and epididymal cyst.And at the same time the position of epididymal cyst and results of PESA were analyzed.Results The incidence of sperm in epididymal cyst group was higher than that of the group without epididymal cyst（P0.05）.Detection rate of epididymal cyst by Color Doppler Sonography and physical examination was no statistically significant difference（P0.05）.Conclusion Obstructive azoospermia may be accompaniment with the epididymal cyst that can be assisted to distinguish the type of azoospermia and locate the place of PESA.

关 键 词：无精子症 诊断 附睾囊肿 

分 类 号：R698.2[医药卫生—泌尿科学]