高频超声在输精管结扎术后附睾淤积症中的临床应用  

High-frequency ultrasonography for epididymal stasis after vasectomy

作　　者：张志兴[1] 刘晃[1] 唐运革[1] 杨慧[1] 郑厚斌[1] 欧淑琪[1] 钟安[1] 汤乐[1] 

机构地区：[1]广东省计划生育科学技术研究所,广东省计划生育专科医院,广东广州510600

出　　处：《中华男科学杂志》2013年第3期232-235,共4页National Journal of Andrology

基　　金：广东省科技计划项目(2010B031600174)~~

摘　　要：目的:探讨高频超声在输精管结扎术后附睾淤积症诊治中的临床应用。方法:回顾性分析2002～2010年23例确诊为输精管结扎术后附睾淤积症患者的声像图特点,按照淤积附睾内部回声分为轻度淤积5例、中度淤积11例、重度淤积7例,观察其在临床治疗中的意义。结果:23例患者中14例显示双侧附睾体积增大,6例显示左侧附睾增粗,3例显示右侧附睾增粗,以体、尾增大为主;经过保守治疗,其中5例轻度淤积、11例中度淤积和2例重度淤积患者好转后出院,另外5例重度淤积患者保守治疗后联合输精管复通术症状明显减轻后出院。结论:输精管结扎术后附睾淤积症具有典型的声像图特征,高频超声对其临床分型、诊断和治疗有极为重要的应用价值。Objective： To explore the clinical application of high-frequency ultrasound in the diagnosis and treatment of epididymal stasis after vasectomy. Methods ： We retrospectively studied the sonographic characteristics of 23 cases of epididymal sta- sis treated by vasectomy, which were divided into a mild （ n = 5 ）, a moderate （ n = 11 ） and a severe group （ n = 7 ） according to the results of color Doppler flow imaging. We analyzed the significance of high-frequency ultrasonography in the treatment of epididymal stasis after vasectomy. Results ： High-frequency ultrasonography revealed 14 cases of increased bilateral epididymal volume, 6 cases of left epididymal thickening and 3 cases of right epididymal thickening, mainly the thickening of the epididymal body and tail. After conservative treatment, 18 of the epididymal stasis cases （5 mild, 11 moderate and 2 severe） were improved, and the other 5 severe cases significantly relieved and discharged from hospital following conservative treatment combined with vasectomy reversal. Conclu- sion： Post-vasectomy epididymal stasis has typical sonographic characteristics, and high-frequency ultrasonography has an extremely im-portant application value in the clinical classification, diagnosis and treatment of the disease.

关 键 词：高频超声 输精管结扎术 附睾淤积 

分 类 号：R445.1[医药卫生—影像医学与核医学]