经直肠超声诊断射精管梗阻性无精子症  

Clinical application of transrectal ultrasound in diagnosis of bstructive azoospermia in ejaculation tube

作　　者：张志兴[1,2] 刘晃[1,2] 杨慧[1,2] 欧淑琪[1,2] 刘兴章[1,2] 

机构地区：[1]广东省计划生育科学技术研究所 [2]广东省计划生育专科医院,广东广州510600

出　　处：《中国计划生育和妇产科》2015年第5期37-40,共4页Chinese Journal of Family Planning & Gynecotokology

基　　金：广东省人口计生科研项目(项目编号:20132007)

摘　　要：目的探讨经直肠超声（transrectal ultrasonography,TRUS）诊断射精管梗阻性无精子症的临床应用价值。方法收集2008~2013年广东省计划生育专科医院就诊的130例男性不育患者的TRUS资料,将62例射精管梗阻性无精子症患者纳入A组、同期68例有精子的患者纳入B组,对两组患者前列腺、双侧精囊及射精管的TRUS声像图特点进行对比分析。结果两组间前列腺结构比较差异无统计学意义（P〉0.05）;A组的精囊宽径（15.10±2.71）mm明显大于B组（10.46±1.71）mm,射精管直径（0.70±0.15）mm明显小于B组（1.02±0.27）mm（P〈0.05）。结论经TRUS检查可获得清晰的前列腺、射精管、精囊结构图像,可作为临床诊断射精管梗阻性无精子症的重要依据。Objective To study the clinical application value of transrectal ultrasonography （TRUS） in diagnosis of ejaculation tube obstructive azoospermia. Methods TRUS data of 130 cases with infertility in Family Planning Specialized Hospital of Guangdong Province during 2008 - 2013 were collected, 62 cases with ejaculation tube obstructive azoospermia were selected into group A, 68 cases with sperm in the corresponding period were selected into group B. The TRUS uhrasonographic characteristics of prostate, seminal vesicle and ejaculation tube between two groups were compared. Results The difference in prostate structure between two groups had no statistical significance（P 〉0. 05）. The seminal vesicle width of group A （ 15.10 ±2. 71 ） mm was larger than group B （ 10. 46 ~ 1.71 ） mm, and the ejaculatory duct diameter of group A （0. 70 ±0. 15 ） mm was less than group B （ 1.02 ± 0. 27 ） mm （P 〈 0. 05 ）. Conclusion It can obtain the clear images of prostate, seminal vesicle and ejaculatory duct structure by TRUS, which canbe used as an important basis for the clinical diagnosis of ejaculation tube obstructive azoospermia.

关 键 词：经直肠超声 无精子症 射精管 精囊 

分 类 号：R698[医药卫生—泌尿科学]