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目的 对常用的 4种精索静脉曲张症诊断方法进行评价。方法 ①临床体检 ;②彩色多普勒超声血流图检查 ;③精索内静脉造影 ;④阴囊血池扫描。结果 临床体检初诊为精索静脉曲张症的 5 82例患者 ,492例进行了彩色多普勒超声血流图检查 ,单纯左侧精索静脉曲张占 12 8% ( 63例 / 492例 ) ,双侧精索静脉曲张为 87 2 % ( 4 2 9例 / 492例 )。 40例进行了精索内静脉造影术 ,均发现左侧精索静脉血液返流 ,右侧精索静脉插管困难 ,未能进行造影检查。 3 8例进行了阴囊血池扫描 ,均发现左侧同位素显像较右侧强。结论 初诊时应以临床体检作出初步诊断。进一步确诊时推荐使用彩色多普勒超声血流图检查 ,其结果可靠。精索内静脉造影术是创伤性方法 ,且无法对右侧精索静脉曲张作出诊断 ;同位素阴囊血池扫描无法对双侧精索静脉曲张进行诊断 ,均无应用价值。
Objective To evaluate the diagnostic methods of 4 commonly used varicoceles. Methods ① clinical examination; ② color Doppler ultrasound flow chart; ③ spermatic vein venography; ④ scrotal blood pool scan. Results A total of 5 82 cases of varicocele were found in clinical examination, color Doppler ultrasonography was performed in 492 cases, simple left varicocele in 12 8% (63 cases / 492 cases), double Side varicocele 87 2% (429 cases / 492 cases). 40 cases of spermatic vein venography, were found in the left spermatic vein blood flow, right venous catheterization difficult, failed to contrast. 38 cases of scrotal blood pool scan were found on the left side of the isotope imaging stronger than the right side. Conclusion The initial diagnosis should be made by clinical examination. Further diagnosis of color Doppler ultrasound blood flow chart recommended, the results are reliable. Intravenous spermatic vein angiography is a traumatic method, and can not be diagnosed on the right varicocele; isotope scrotal blood pool scan can not be diagnosed bilateral varicocele, no application value.