超声在男性不育症病因诊断的临床应用

摘要

Objective To explore the value of ultrasonography in the diagnosis of the cause of male infertility. Methods 186 cases of male infertility cured in our hospital from March 2012 to August 2014 were selected as the study objects. All patients underwent clinical diagnosis of scrotal palpation of the reproductive system and color Doppler ultrasound diagnosis. Inspection diagnosis results of all the patients were compared. Results All male infertility patients after different inspection methods, the palpation of the scrotum scrotal abnormalities detected in patients was 15.05% (28/186), scrotal ultrasound diagnostic accuracy in patients with abnormal rate was 49.46%(92 /186), comparing two sets of data for male infertility patients scrotum abnormal phenomenon,ultrasound detection rate was significantly higher (P < 0.05). Compared all male infertility patients after different methods to check the specific cause of the detection rate, after ultrasonography, varicocele detection rate was 33.33%, testicular microlithiasis disease detection rate was 5.38%, ejaculatory duct obstruction detection the rate was 12.37%, testicular cyst detection rate was 2.69%, vas deferens detection rate was 4.84%, after palpation of the scrotum, varicocele detection rate was 13.44%, the detection rate of testicular microlithiasis disease was2.15%, detection rate of ejaculatory duct obstruction was 3.23%, testicular cyst detection rate was 1.08%, and vas deferens detection rate was 0.54%. Data comparison between the two groups, the detection rate of ultrasound varicocele, ejaculatory duct obstruction and vas deferens scrotal palpation was higher than the detection rate. The difference was significant (P < 0.05). Conclusion The diagnosis of the cause of male infertility, ultrasound diagnosis plays an important role. It can detect out the abnormal phenomenon, which was difficult to find in routine clinical examination. It can identify the cause of the patient. It is beneficial to provide reference for further treatment. It is suitable for extensive promotion.%目的：探究超声在男性不育症病因诊断中的应用价值。方法选取我院2012年3月~2014年8月男性不育症患者186例，所有患者均行临床阴囊触诊诊断以及生殖系统彩色多普勒超声诊断，比较所有患者检查后的诊断结果。结果所有男性不育症患者经过不同的检查方法后，其中阴囊触诊后检出患者阴囊异常率为15.05%（28/186），超声诊断后检出患者阴囊异常率为49.46%（92/186），两组数据对比，针对男性不育症患者阴囊异常的现象，超声检查检出率明显更高（P ＜0.05）。比较所有男性不育症患者经不同检查方法后具体病因的检出率，经过超声检查后，精索静脉曲张检出率为33.33%、睾丸微结石症检出率为5.38%、射精管梗阻检出率为12.37%、睾丸囊肿检出率为2.69%、输精管缺如检出率为4.84%，经过阴囊触诊后，精索静脉曲张检出率为13.44%，睾丸微结石症检出率为2.15%、射精管梗阻检出率为3.23%、睾丸囊肿检出率为1.08%、输精管缺如检出率为0.54%，以上两组数据对比，采取超声检查后精索静脉曲张、射精管梗阻和输精管缺如检出率明显高于阴囊触诊检出率，数据对比差异明显（P ＜0.05）。结论在对男性不育症病因的诊断中，采取超声诊断具有重要作用，能够检出临床常规检查中不易发现的异常现象，明确患者的病因，有利于为进一步治疗提供参考依据，适合广泛推广。