输精管结扎术后中远期对附睾、睾丸影响的超声观察  

To observe the long-term effect of epididymis,testis after vasectomy

作　　者：刘瑞华 马毅敏 孙彬桂 陶晓海 刘胜军 彭礼亮 

机构地区：[1]广州市妇女儿童医疗中心,广州510623 [2]广州市人口和计划生育科研所

出　　处：《中国男科学杂志》2016年第4期23-25,共3页Chinese Journal of Andrology

基　　金：广东省人口和计划生育委员会科研资助项目(编号:2012305)

摘　　要：目的探讨输精管结扎术后中远期对睾丸、附睾的形态学的影响。方法随访结扎术后无发生附睾淤积症状的男性89例,并同期选择无结扎史男性59例为对照组,采用多普勒超声观察2组对象附睾形态及内部回声,测量头、体、尾长度;同时测量睾丸的大小情况。结果与正常组对比,结扎组术后附睾头、体、尾的厚度改变有显著性差异(P<0.01);结扎组术后睾丸大小的改变无显著性差异(P>0.05)。结论输精管结扎术后中远期仍然会出现附睾淤积增厚的超声表现,但附睾淤积症状的发生可能与附睾上皮增厚无直接相关;术后中远期对睾丸大小无影响。Objective To explore the medium and long term effects of vasectomy on morphology of epididymis and testis. Methods Total of 89 cases with no symptoms of epididymal stasis after vasectomy, and 59 normal healthy males were recruited in the study. The epididymis morphology and internal echo of 2 groups were observed by doppler ultrasound, and the length of caput, corpus and cauda of epididymis, the size of the testis were measured. Results The thickness of the caput, corpus and cauda of epididymis in vasectomy group had significant differences compared with those of the normal group （P〈0.01）;There was no significant difference in the size of testis in the vasectomy group （P〉0.05）. Conclusion Ultrasound images of epididymalstasis thickening will still be found during long-term observation after vasectomy, There may be no direct correlation between the symptoms of epididymis deposition and the thickening of epididymis. No obvious change was found in the size of the testis after vasectomy during long term following up.

关 键 词：输精管切除术 手术后并发症 附睾 超声检查 

分 类 号：R699.8[医药卫生—泌尿科学]