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目的:通过对某院精索静脉曲张症患者进行对照研究,探讨彩色多普勒超声诊断男性不育精索静脉曲张的价值。方法:选择某院2015年1月~2016年7月收治的男性不育精索静脉曲张患者60例,另外选择某院同期健康体检的男性体检者作为对照组,一共60例,采用超声诊断仪对患者进行检查,观察血管内径、血流速度和流向,比较精索静脉曲张CDFI和触诊的结果和比较CDFI检测各组血管内径的返流时间和血流速度。结果:(1)与触诊对比,CDFI对精索静脉曲张的诊断率明显更高,数据比较差异具有统计学意义,P<0.05;(2)与对照组对比,临床型和临床亚型血管内径明显更大,返流时间明显更长,流速明显更快,数据比较差异具有统计学意义,P<0.05;与临床亚型对比,临床型血管内径明显更大,返流时间明显更长,流速明显更快,数据比较差异具有统计学意义,P<0.05。结论:彩色多普勒超声诊断男性不育精索静脉曲张具有较高的诊断准确率,能够有效地诊断男性不育精索静脉曲张症,值得临床广泛应用以及推广。
Objective: To compare the value of color Doppler sonography in the diagnosis of male infertility varicocele by comparing the patients with varicocele in a hospital. Methods: Sixty male infertile patients with infertile varicocele were enrolled from January 2015 to July 2016 in our hospital. In addition, 60 healthy male physical exams were selected as the control group in the same period. The patients were inspected, the intravascular diameter, blood flow velocity and flow direction were observed. The results of CDFI and palpation were compared with those of CDFI. The time of reflux and the velocity of blood flow were detected by CDFI. Results: (1) Compared with palpation, the diagnostic rate of CDFI in varicocele was significantly higher, the difference was statistically significant, P <0.05; (2) Compared with the control group, the clinical and clinical subtype blood vessels The internal diameter was significantly larger, the reflux time was significantly longer, the flow rate was significantly faster, the difference between the data was statistically significant, P <0.05; compared with the clinical subtype, the clinical type of vascular diameter was significantly larger reflux time was significantly longer, The flow rate was significantly faster and the difference was statistically significant (P <0.05). Conclusion: Color Doppler ultrasound diagnosis of male infertility varicocele has a high diagnostic accuracy, can effectively diagnose male infertility varicocele, it is widely used in clinical and promotion.