| 摘要: |
| 摘 要 目的 探讨超声造影（CEUS）定量分析在精索静脉曲张（VC）诊断中的应用价值。方法 选取我院左侧VC患者27例为研究组，同期健康男性志愿者27例为对照组，所有受检者均行CEUS检查双侧精索静脉，获得CEUS定量参数：精索动静脉渡越时间（TT）、精索静脉到达时间（ATV）、静脉达峰所需时间（TTPV）、静脉达峰时间（PTV）、静脉峰值减半时间（WOT50%）、静脉半衰期（HTV），比较两组上述参数的差异。结果 研究组左侧与右侧精索静脉TT、ATV、TTPV、PTV、WOT50%、HTV比较差异均有统计学意义（均P＜0.05）；对照组左侧与右侧精索静脉各CEUS定量参数比较差异均无统计学意义。研究组与对照组左侧精索静脉TT、ATV、TTPV、PTV、WOT50%、HTV比较差异均有统计学意义（均P＜0.05）；右侧精索静脉各CEUS定量参数比较差异均无统计学意义。结论 CEUS定量参数能够反映精索静脉血流动力学情况，在VC诊断中有一定的应用价值。 |
| 关键词: 超声检查，造影剂 精索静脉曲张 男性不育 |
| DOI： |
| 投稿时间：2022-12-14修订日期：2023-06-07 |
| 基金项目:上海申康医院发展中心促进市级医院临床技能与临床创新三年行动计划重大临床研究项目 |
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| Application value of contrast- enhanced ultrasound quantitative analysis in the diagnosis of varicocele |
| TAO YU CHEN,JIA CHAO,ZOU PENG LIN,HU JIAN LIN,LI HUI,FAN GAO XIANG,LIANG HONG MEI,LI ZHENG,DU LIAN FANG,SHI QIU SHENG |
| (Shanghai General Hospital) |
| Abstract: |
| ABSTRACT Objective: To investigate the value of quantitative analysis of contrast-enhanced utrasound (CEUS) in the diagnosis of varicocele (VC). Methods: 27 patients with left-sided VC in the hospital were selected as the study group, and 27 healthy male volunteers were selected as the control group during the same period. All participants had CEUS performed on both spermatic veins, and quantitative parameters were obtained: transiting time from spermatic artery to spermatic vein (TT),arrival time in vein (ATV), time-taking to peak in vein (TTPV), peak time in vein (PTV),wash-out time 50% in vein (WOT50%), and half time in vein (HTV). Differences between the two groups were compared. Results: The differences in TT, ATV, TTPV, PTV, WOT50% and HTV between the left and right spermatic veins in the study group were statistically significant (all P<0.05); the differences in the quantitative parameters between the left and right spermatic veins in the control group were not statistically significant. The differences in TT, ATV, TTPV, PTV, WOT50% and HTV of the left spermatic vein between the study group and the control group were statistically significant (all P<0.05); the differences in the quantitative parameters of right spermatic vein between the two groups were not statistically significant. Conclusion: The quantitative parameters of CEUS can reflect the hemodynamic situation of the spermatic vein and have some application in the diagnosis of VC. |
| Key words: Ultrasonography, contrast agent varicocele male infertility |
