超声诊断睾丸网扩张与附睾头部精液囊肿体积的相关研究  

Relationship between ectasia of the rete testis and the volume of seminal vesicle cyst in the epididymal head:An ultrasonographic study

作　　者：张利[1] 张建军[1] 甘子明[1] 

机构地区：[1]新疆医科大学基础医学院人体解剖教研室,新疆乌鲁木齐830011

出　　处：《中华男科学杂志》2013年第2期137-140,共4页National Journal of Andrology

摘　　要：目的:探讨超声诊断睾丸网扩张与患侧附睾头部精液囊肿体积大小的相关性。方法:整理分析新疆自治区人民医院超声科2005～2012年应用彩色多普勒超声诊断睾丸网扩张,并经手术或细针穿刺确诊合并睾丸网扩张附睾头部精液囊肿36例为病例组,不合并睾丸网扩张附睾头部精液囊肿病例44例作为对照组;比较两组族别、年龄、精液囊肿体积、患侧睾丸向心动脉阻力指数(RI)。结果:病例组与对照组对比:维吾尔族与汉族没有明显差异(P>0.05);平均年龄差异不显著(P>0.05);病例组附睾头部精液囊肿体积为(2.081±1.147)cm3,对照组为(1.009±0.848)cm3,两组比较有显著性差异(P<0.01);病例组睾丸向心动脉阻力指数RI为0.644±0.099,对照组为0.608±0.116,两组比较差异不显著(P>0.05)。结论:附睾头部精液囊肿体积大小对于睾丸网扩张的形成有重要影响。Objective： To explore the correlation between ectasia of the rete testis （ERT） and the volume of seminal vesicle cyst （SVC） in the epididymal head by ultrasonography. Methods： This study included 36 cases of ERT diagnosed by color Doppler ultrasonography and complicated with SVC in the epididymal head （ case group）, and another 44 SVC cases without ERT （ control group）, all confirmed by surgery or fine-needle aspiration. We analyzed the differences in nationality, age, volume of SVC and resist- ance index of the afferent artery in the diseased testis between the two groups of patients. Results： No statistically significant differ- ences were observed between Chinese Uighurs and Hans （ P 〉 0.05 ）, nor in the mean age between the two groups of patients （ P 〉 O. 05）. There were significant differences in the mean volume of SVC between the case and control groups （[2. 081 ± 1. 147] cm3 vs [ 1. 009 ± 0.848 ] cm3, P 〈 0.01 ）, but not in the resistance index of the afferent artery in the diseased testis （0.644 ＋ 0.099 vs 0. 608 ± 0.116, P 〉 0.05）. Conclusion ： The volume of seminal vesicle cyst in the epididymal head plays a significant role in the forma- tion of ectasia of the rete testis.

关 键 词：睾丸网扩张 附睾头部精液囊肿 超声诊断 睾丸向心动脉阻力指数 

分 类 号：R697.21[医药卫生—泌尿科学]