实时弹性成像在无精子症超声鉴别诊断中的应用价值  

Application Value of Real-time Elastography in Differential Diagnosis of Zzoospermia By Ultrasound

作　　者：田树元[1] 徐森胤 谢波[2] 余永红[1] 刘翔[3] Tian Shuyuan;Xu Senyin;Xie Bo;Yu Yonghong;Liu Xiang(Department of Ultrasound,Tongde Hospital of Zhejiang Province,Hangzhou.Zhejiang 310012,China)

机构地区：[1]浙江省立同德医院超声科,杭州市310012 [2]浙江省立同德医院泌尿科,杭州市310012 [3]浙江省立同德医院检验科,杭州市310012 [4]杭州市中医院超声科,杭州市310012

出　　处：《中国超声医学杂志》2020年第8期729-731,共3页Chinese Journal of Ultrasound in Medicine

基　　金：浙江省医药卫生科技计划项目(No.2014KYB320)。

摘　　要：目的探讨实时超声弹性成像技术在鉴别诊断梗阻性与非梗阻性无精子症中的应用价值。方法对45例梗阻性无精子症患者及36例非梗阻性无精子症患者行经阴囊超声检查,并对睾丸进行实时弹性成像分析。比较梗阻性和非梗阻性无精子症患者超声声像图的差异,分析比较两组患者睾丸体积间的差异,分析比较两组患者睾丸实时超声弹性成像评分级别。结果梗阻性和非梗阻性无精子症患者超声声像图表现不同,梗阻性无精子症患者睾丸体积较非梗阻性无精子症患者大,超声弹性成像评分级别低,两者间有显著性差异。结论实时超声弹性成像技术可以作为无精子症超声鉴别诊断的一种辅助手段,弥补传统超声影像技术的一些不足。Objective To explore the application value of real-time sonoelastography in the differential diagnosis of obstructive and non-obstructive azoospermia.Methods 45 patients with obstructive azoospermia and 36 patients with non-obstructive azoospermia underwent high-frequency ultrasonography of the scrotum and real-time sonoelastography analysis of the testis.The difference of ultrasonography was compared between obstructive azoospermia and non-obstructive azoospermia,the difference of testicular volume and the real-time sonoelastography score of testis were analyzed and compared between the two groups.Results Obstructive and non-obstructive azoospermia patients have different sonographic manifestations.The testicular volume of obstructive azoospermia patients was larger than that of non-obstructive azoospermia patients,and the score of ultrasound elastography was lower.There was a significant difference between them.Conclusions Real-time sonoelastography can be used as an auxiliary method for ultrasonic differential diagnosis of azoospermia,which can make up for some shortcomings of traditional ultrasound imaging technology.

关 键 词：无精子症 睾丸 弹性成像 

分 类 号：R445.1[医药卫生—影像医学与核医学] R698.2[医药卫生—诊断学]