经直肠超声在男性盆腔静脉淤血综合征中的应用  

Application of Transrectal Ultrasonography in Male Pelvic Venous Congestion Syndrome

作　　者：蓝晓锋[1] 蒋卉 伍婷婷[1] 姜凡[1] 解翔[2] 彭梅[1] 邹慈[3] 吴军[1] Lan Xiaofeng;Jiang Hui;Wu Tingting;Jiang Fan;Xie Xiang;Peng Mei;Zou Ci;Wu Jun(Department of Ultrasound Medicine,The Second Affiliated Hospital of Anhui Medical University,Hefei 230601,China;Department of Interventional Ultrasound,The Second Affiliated Hospital of Anhui Medical University,Hefei 230601,China;Department of Urology,The Second Affiliated Hospital of Anhui Medical University,Hefei 230601,China)

机构地区：[1]安徽医科大学第二附属医院超声医学科,合肥市230601 [2]安徽医科大学第二附属医院介入超声科,合肥市230601 [3]安徽医科大学第二附属医院泌尿外科,合肥市230601

出　　处：《中国超声医学杂志》2024年第2期206-210,共5页Chinese Journal of Ultrasound in Medicine

摘　　要：目的评价经直肠超声检查(TRUS)在男性盆腔静脉淤血综合征(PVCS)中的诊断价值。方法选取安徽医科大学第二附属医院泌尿外科门诊收治的289例疑似PVCS的男性患者作为研究对象。将患者分为PVCS组(确诊存在盆腔静脉曲张,199例)和对照组(排除盆腔静脉曲张,90例),对两组患者的一般资料、实验室指标、超声相关指标进行对比。利用盆腔静脉丛最大静脉内径对PVCS进行诊断,分别比较TRUS、经腹部超声检查(TAUS)、经会阴超声检查(TPUS)的诊断性能,并评估这3种检查方式的一致性。结果两组患者的一般临床资料及实验室各项指标的差异均无统计学意义(P>0.05)。TRUS、TAUS和TPUS检查均显示PVCS组患者的盆腔静脉丛最大静脉内径高于对照组,盆腔静脉丛最大静脉血流速度低于对照组(P<0.05);TRUS、TAUS和TPUS 3种超声诊断方法在诊断盆腔最大静脉血流速度中无统计学意义(P=0.984),而TRUS测得的盆腔最大静脉内径显著高于TAUS和TPUS(P=0.08)。其中,TRUS诊断PVCS的性能最佳且一致性最好,其曲线下面积(AUC)最高,为0.89,截断值为0.47 cm。结论TRUS在男性PVCS诊断和盆腔静脉曲张评价中具有较高的价值。Objective To evaluate the diagnostic value of transrectal ultrasonography(TRUS)in male patients with pelvic venous congestion syndrome(PVCS).Methods A total of 289 male patients with suspected PVCS symptoms treated in were selected.The patients were divided into PVCS group(199 cases with pelvic varices)and the control group(90 cases without pelvic varices).The demographic data,the laboratory indexes and the ultrasound-related indexes of the two groups were compared.The maximum venous internal diameter of the pelvic venous plexus was utilized for the diagnosis of PVCS,and the diagnostic performance of TRUS,transabdominal ultrasound(TAUS),and transperineal ultrasound(TPUS)was compared.Moreover,the consistency of the three examination modes were assessed.Results The TRUS,TAUS and TPUS examinations consistently showed higher maximum venous internal diameter in the PVCS group than that of the control group,while the maximum venous blood flow velocity of the PVCS group was lower than that of the control group(P<0.05).There was no statistically significant difference in the laboratory indexes between the two groups(P>0.05).There was also no statistically significant difference in the velocity of blood flow in the largest pelvic vein(P=0.984),while the internal diameter of the largest pelvic vein measured by the TRUS examination was significantly higher than that of the TAUS and TPUS examinations(P=0.08).The TRUS test had the best performance and consistency in diagnosing PVCS,with the highest AUC value of 0.89 and a cutoff value of 0.47 cm.Conclusions TRUS is of great value in the diagnosis of male PVCS.

关 键 词：经直肠超声检查 男性 盆腔静脉淤血综合征 

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]