| 摘要: |
| 目的:探究睾丸剪切波成像刚度值对精索静脉曲张相关男性不育症早期预测的应用价值。
方法：在2016-2020年来我院男科就诊的精索静脉曲张患者中选取左侧精索静脉单侧曲张Sarteschi分级大于等于3的患者74例，其中根据精液质量分为精液正常组A（37例）和弱精症组B（37例），另外匹配74例健康人群作为对照组， 测量其睾丸体积并通过剪切波成像计算睾丸刚度，并与对侧正常睾丸和健康对照组睾丸进行比较。
结果： A组精索静脉曲张侧睾丸体积(15.85±2.68m L)和对侧睾丸体积(16.21±3.24m L)无显着性差异(P=0.813)；精索静脉曲张侧睾丸的平均刚度值为4.77±1.16kPa，超过对侧睾丸刚度值(3.39±0.97kPa)(P<0.001)。B组精索静脉曲张曲张侧睾丸体积(15.19±2.10mL)明显低于对侧睾丸(17.44±4.38mL)(P=0.013)；精索静脉曲张侧睾丸平均刚度值为7.23±1.88kPa，超过对侧睾丸平均刚度值 (4.74±0.79kPa)(P<0.001) 。B组睾丸刚度值(7.23±1.88kPa)高于A组(4.77±1.16kPa)(P=0.002) 。精索静脉曲张患者A组和B组左侧睾丸平均体积及刚度与健康对照组均有显著差异(P<0.001)。
结论：睾丸剪切波成像刚度值是评估精索静脉曲张相关男性不育症更早的一种有效早期检查手段。 |
| 关键词: 剪切波弹性成像 睾丸超声 精索静脉曲张 弱精症 |
| DOI： |
| 投稿时间：2020-10-27修订日期：2020-12-18 |
| 基金项目: |
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| Clinical study on early prediction of male infertility associated with varicocele by testicular shear wave elastography |
| zhangyang,yushanshan,hexin,zhaojun,zhouqi |
| () |
| Abstract: |
| Objective To explore the application value of testicular shear wave imaging stiffness value in early prediction of male infertility associated with varicocele.
Method in our hospital in 2016-2020 years of varicocele patients male in the unilateral selection on the left side of the spermatic vein varicose Sarteschi 74 patients with classification of greater than or equal to 3, which based on sperm quality is divided into normal group A (37 cases) and weak sperm disease group B (37 cases), and matching of 74 cases of healthy people as control group, measuring the testicular volume and through the calculation of shear wave imaging testicular stiffness, and compared with the contralateral normal testis and healthy controls testicular comparison.
Results There was no significant difference between the testicular volume (15.85±2.68m L) and the testicular volume (16.21±3.24m L) of the varicocele in group A (P=0.813).The mean stiffness of testis on the side of varicocele was 4.77±1.16kPa, which was higher than that on the opposite side (3.39±0.97kPa)(P<0.001).The volume of testis on the varicose side of spermatic vein in group B (15.19± 2.10ml) was significantly lower than that on the contralateral side (17.44± 4.38ml)(P=0.013).The mean stiffness of testis on the side of varicocele was 7.23±1.88kPa, which was higher than that on the opposite side (4.74± 0.79kpa)(P<0.001).Testicular stiffness (7.23±1.88kPa) in group B was higher than that in group A (4.77± 1.16kpa)(P=0.002).The mean volume and stiffness of left testis of patients with varicocele in group A and Group B were significantly different from those of healthy controls (P<0.001).
Conclusion Testicular shear wave imaging stiffness is an effective early detection method for evaluating male infertility associated with varicocele earlier. |
| Key words: Shear wave elastography Testicular ultrasound Varicocele Weak sperm disease |
