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目的探讨输精管结扎术后近期对附睾大小的影响,获取术后近期附睾的影像学资料。方法选择60例自愿接受输精管结扎术的结扎对象,应用高频彩色多普勒超声于术前及术后1、2、3、6、12个月检查附睾及睾丸的大小。结果术后60例受术者双侧附睾均出现增厚,术后1个月与术前比较、术后2个月与术后1个月比较、术后3个月与术后2个月比较、术后6个月与术后3个月比较,差异均有统计学意义(P<0.01);术后12个月与术后6个月比较,差异无统计学意义(P>0.05)。结论术后6个月内附睾呈进行性增厚,之后附睾基本恢复分泌-吸收平衡;中轻度VC不会加重输精管结扎后近期附睾淤积的程度。
Objective To investigate the effect of vasectomy on the size of epididymis after vasectomy and to obtain the imaging information of the recent epididymis. Methods Sixty patients undergoing vasectomy were randomly selected. The epididymis and testis size were examined by high-frequency color Doppler sonography before and 1, 2, 3, 6 and 12 months after operation. Results 60 cases of postoperative patients with bilateral epididymis were thickening, 1 month after surgery and preoperative comparison, 2 months after surgery compared with 1 month after surgery, 3 months after surgery and 2 months after surgery (P <0.01). There was no significant difference between the 12-month and 6-month after operation (P> 0.05), the difference was statistically significant . Conclusions The epididymis showed thickening within 6 months after operation, and the epididymal returned to the normal level after the operation. The mild VC did not increase the degree of recent epididymal deposition after vasectomy.