超声造影定量分析在精索静脉曲张诊断中的应用价值  

Application value of contrast-enhanced ultrasound quantitative analysis in the diagnosis of varicocele

作　　者：陶宇晨 贾超 邹朋林 胡剑麟 李辉[1] 樊高翔 梁红梅 李铮[1] 杜联芳[1] 史秋生 TAO Yuchen;JIA Chao;ZOU Penglin;HU Jianlin;LI Hui;FAN Gaoxiang;LIANG Hongmei;LI Zheng;DU Lianfang;SHI Qiusheng(Department of Ultrasound Medicine,the First People’s Affiliated Hospital of Shanghai Jiao Tong University,Shanghai 200080,China)

机构地区：[1]上海交通大学医学院附属第一人民医院超声医学科,上海市200080

出　　处：《临床超声医学杂志》2023年第7期510-513,共4页Journal of Clinical Ultrasound in Medicine

基　　金：国家自然科学基金项目(81771838);上海申康医院发展中心促进市级医院临床技能与临床创新三年行动计划重大临床研究项目(SHDC2020CR2071B)。

摘　　要：目的探讨超声造影(CEUS)定量分析在精索静脉曲张(VC)诊断中的应用价值。方法选取我院收治的左侧VC患者27例为研究组,以及同期健康男性志愿者27例为对照组,均行CEUS检查双侧精索,获得CEUS定量参数:动静脉渡越时间(TT)、静脉到达时间(ATV)、静脉达峰所需时间(TTPV)、达峰时间(PTV)、静脉峰值减半时间(WOT50%)、静脉内半衰期(HTV)、动脉到达时间,比较两组上述参数的差异。结果研究组左侧与右侧精索TT、ATV、TTPV、PTV、WOT50%、HTV比较差异均有统计学意义(均P<0.05);对照组左侧与右侧精索各CEUS定量参数比较差异均无统计学意义。研究组与对照组左侧精索TT、ATV、TTPV、PTV、WOT50%、HTV比较差异均有统计学意义(均P<0.05);两组右侧精索各CEUS定量参数比较差异均无统计学意义。结论CEUS定量分析可反映精索静脉血流动力学情况,在VC诊断中有一定的应用价值。Objective To investigate the application value of contrast-enhanced ultrasound(CEUS)quantitative analysis in the diagnosis of varicocele(VC).Methods Twenty-seven patients with left-sided VC admitted to our hospital were selected as the study group,and 27 healthy male volunteers were selected as the control group.All participants underwent CEUS examination of bilateral spermatic,and quantitative parameters were obtained:transiting time from spermatic artery to spermatic vein(TT),arrival time in vein(ATV),time-taking to peak in vein(TTPV),peak time in vein(PTV),wash-out time 50% in vein(WOT50%)and half time in vein(HTV).Differences of the above parameters between the two groups were compared.Results The differences in TT,ATV,TTPV,PTV,WOT50% and HTV between the left and right spermatic in the study group were statistically significant(all P<0.05),the differences in the quantitative parameters between the left and right spermatic in the control group were not statistically significant.The differences in TT,ATV,TTPV,PTV,WOT50% and HTV of the left spermatic between the study group and the control group were statistically significant(all P<0.05),the differences in the quantitative parameters of right spermatic between the two groups were not statistically significant.Conclusion CEUS quantitative analysis can reflect the hemodynamic situation of the spermatic vein and have certain application value in the diagnosis of VC.

关 键 词：超声检查 造影剂 精索静脉曲张 

分 类 号：R445.1[医药卫生—影像医学与核医学] R697[医药卫生—诊断学]