引用本文:万里凯,李大文,王晓平,陈春博,毛献宝,石彩静,夏小灵.超声检测在梗阻性无精子症不育症诊疗中的临床应用[J].中国临床新医学,2014,7(11):1001-1003.
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超声检测在梗阻性无精子症不育症诊疗中的临床应用
万里凯,李大文,王晓平,陈春博,毛献宝,石彩静,夏小灵
530021 南宁,广西壮族自治区人民医院生殖医学与遗传中心
摘要:
[摘要] 目的 探讨超声检测在梗阻性无精子不育症患者治疗中的临床应用价值。方法 对129例育龄期男性无精子症患者通过超声检测生殖器,分析不同脏器异常、缺如情况及其在临床治疗中的意义。结果 梗阻性无精子症患者129例258对相关脏器,各脏器超声异常检出率及缺如率总的来说差异有统计学意义(χ2=393.581,P=0.000)。异常检出率射精管为72.87%、附睾为48.45%、精囊为46.90%、睾丸为27.52%、输精管为8.91%;脏器缺如检出率精囊为24.42%、附睾为12.02%、输精管为11.63%、睾丸为1.16%、射精管为0.00%。结论 超声检测可为临床判断梗阻性无精子症梗阻部位提供直观、精确和客观的依据,对临床选择治疗不育症方案有较大应用价值。
关键词:  男性不育症  梗阻性无精子症  超声检查
DOI:10.3969/j.issn.1674-3806.2014.11.03
分类号:R 697
基金项目:广西卫生厅科研课题(编号:Z2011435)
Clinical application of ulrtasonic detection technology in infertile men with obstructive azoospermia
WAN Li-kai, LI Da-wen, WANG Xiao-ping, et al.
Center for Reproductive Medicine and Genetics, the People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021, China
Abstract:
[Abstract] Objective To explore the clinical value of ulrtasonic detection technology in infertile men with obstructive azoospermia.Methods The reproduction organs of 129 infertile men with obstructive azoospermia were detected by ultrasonography, then the abnormal detection rate and its clinical significance were analyzed.Results There were significant differences in the abnormal detection rate and absence rate among various organs of 258 organs in 129 cases(χ2=393.581,P=0.000). The abnormal detection rate of the organs in the sequence of decending was ejaculatory duct(72.87%), epididymis(48.45%), seminal vesicle(46.90%), testis(27.52%)and vas deferens(8.91%), while the absence rate was seminal vesicle(24.42%), epididymis(12.02%),vas deferens(11.63%), testis(1.16%), ejaculatory duct(0.00%).Conclusion Ulrtasonic detection technology can provide an objective basis for judging the obstructive site in infertile men with obstructive azoospermia, and the ultrasonic detection possesses important clinical value for treatment options in male infertility.
Key words:  Male infertility  Obstructive azoospermia  Ulrtasonic detection technology