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经阴囊及经直肠超声对诊断先天性双侧输精管缺如价值的研究 被引量:8

Value of Scrotal Ultrasonography and Transrectal Ultrasonography in the Diagnosis of Congenital Bilateral Absence of the Vas Deferens
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摘要 目的:探讨超声检查在诊断先天性双侧输精管缺如(CBAVD)中的价值。方法:回顾性分析380例CBAVD经阴囊及经直肠超声声像图表现。结果:所有患者超声检查均出现异常声像图;其中376例的752只附睾出现超声声像图异常,异常比率为99%(752/760),包括附睾头回声杂乱伴扩张、附睾头单纯扩张、附睾体附睾管扩张、附睾体部缺失、附睾体截断征、附睾尾附睾管扩张、附睾尾部缺失;365例的706条输精管阴囊段出现声像图异常,异常比率为93%(706/760),包括双侧缺失、双侧截断征、双侧纤细、一侧正常对侧缺失、一侧截断征对侧缺失;335例患者的605条输精管末段声像图出现异常,异常比率为80%(605/760),包括双侧缺失、一侧正常对侧缺失、一侧截断征对侧缺失。369例726只精囊声像图异常,异常比率为96%(726/760),包括双侧缺失、一侧正常对侧缺失;一侧发育不良对侧缺失、双侧扩张、一侧精囊部位畸形结构对侧缺失。结论:经阴囊及直肠超声检查,可清楚显示CBAVD患者输精管道的各种发育异常结构,为CBAVD患者的临床诊治提供可靠的超声影像依据。 Objective: To assess the value of ultrasonography in the diagnosis of congenital bilateral absence of the vas deferens (CBAVD). Methods: The scrotal ultrasonography (US) and transrectal ultrasonography (TRUS) manifestations of 380 CBAVD patients were retrospectively analyzed, which mainly included epididymis, scrotal segments and last segments of vas deferens, and seminal vesicle. Results: All the ultrasonic probe patients presented abnormal sonogram: 752 epididymis of 376 cases presented abnormal sonogram, abnormality rate was 99% (752/760), including epididymal heads presented uneven echo and tubular ectasia, epididymal heads presented tubular ectasia, epididymal bodys presented epididymal duct ectasia, epididymal bodys presented absent, epididymal bodys presented tapering, epididymal tails presented epididymal duct ectasia, epididymal tails presented absent; 706 scrotal segments of vas deferens of 365 cases presented abnormal sonogram, abnormality rate was 93% (706/760), including bilateral absence, bilateral tapering, bilateral tenuity, unilateral normal and contralateral absence, unilateral tapering and contralateral absence; 605 last segments of vas deferens of 335 cases prerented abnormal sonogram, abnormality rate was 80% (605/760), including bilateral absence, unilateral normal and contralateral absence, unilateral tapering and contralateral absence; 726 seminal vesicle of 369 cases presented abnormal sonogram, abnormality rate were 97% (726/760), including bilateral absence, unilateral normal and contralateral absence, unilateral hypogenesis and contralateral absence, bilateral dilation, unilateral malformation structure in the position of seminal vesicle and contralateral absence. Conclusion: Scrotal US and TRUS can clearly display varieties of heteroplasia structures of deferential duct of CBAVD patient, and can provide credible sonogram evidence for diagnosis and treatment of the CBAVD patient.
出处 《生殖与避孕》 CAS CSCD 北大核心 2008年第12期734-738,744,共6页 Reproduction and Contraception
基金 浦东新区科技发展基金创新资金项目,项目编号:PKJ2007-Y18
关键词 先天性双侧输精管缺如(CBAVD) 经阴囊超声 经直肠超声 congenital bilateral absence of the vas deferens (CBAVD) scrotal ultrasonography transrectal ultrasonography
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参考文献10

  • 1Robert F, Bey-Omar F, Rollet J, et al. Relation between the anatomical genital phenotype and cystic fibrosis transmem- brane conductance regulator gene mutations in the absence of the vas deferens. Fertil Steril, 2002,77(5):889-96.
  • 2Kuligowska E, Baker CE, Oates RD, et al. Male infertility: role of transrectal US in diagnosis and management. Radiology, 1992, 185(2):353-60.
  • 3Myriam D, Eric B, Louis B, et al. Congenital bilateral absence of the vas deferens:clinical characteristics, biological parameters, cystic fibrosis transmembrane conductance regulator gene mutations, and implications for genetic counseling. Fertil Steril, 2000, 74(6): 1 164-74.
  • 4薛恩生,林礼务,叶真,俞丽云,林晓东,林暾.正常成年人附睾的彩色多普勒超声表现及其检测方法研究[J].中华超声影像学杂志,2002,11(8):485-488. 被引量:27
  • 5曾国华,邓春华,林正,邓文国,庄广伦,李满.首次发现国人先天性双侧输精管缺如CFTR基因突变[J].新医学,2000,31(1):17-18. 被引量:14
  • 6Okada H, Yoshimura K, Fujioka H, et al. Assisted reproduction technology for patients with congenital bilateral absence of vas deferens. J Urol, 1999, 161(4): 1 157-62.
  • 7Weiske WH, Salzler N, Schroeder Printzen I, et al. Cfinical findings in congenital absence of the vasa deferentia. Andrologia, 2000, 32(1): 13-8.
  • 8乔迪,吴宏飞,钱立新,宋宁宏,冯宁翰.先天性输精管缺如的临床特点与诊疗策略[J].中华男科学杂志,2005,11(11):818-821. 被引量:8
  • 9Moon MH, Kim SH, Cho JY, et al. Scrotal US for evaluation of infertile men with azoospermia. Radiology, 2006, 239(1): 168-73.
  • 10Czaplicki M, Bablck L, Malewski AW, et al. Ultrasonographic investigations in diagnosis of congenital malformations of epididymis in cases of azoospermia. Ginekol Pol, 1994, 65 (1):37-40.

二级参考文献19

  • 1王亮.建立于PCR基础上的基因突变检测技术进展[J].中华医学遗传学杂志,1995,12(1):30-33. 被引量:5
  • 2陈柏华,张思仲,杨元.我国大陆首例DNA分析证实的囊性纤维化病及其突变分析[J].中华医学遗传学杂志,1995,12(1):5-9. 被引量:22
  • 3曹坚 刘国振.先天性双侧输管精管缺如[J].中华泌尿外科杂志,1985,6(3):134-136.
  • 4Chillon M, Casals T, Mercier B, et al. Mutations in the cystic fibrosis gene in patients with congenital absence of the vas deferens[J]. N Engl J Med, 1995, 332(22):1475-1480.
  • 5Schlegel PN, Shin D, Goldstein M. Urogenital anomalies in men with congenital absence of the vas deferens[J]. J Urol, 1996, 155(5):1644-1648.
  • 6Jequier AM, Ansell ID, Bullimore NJ. Congenital absence of the vasa deferentia presenting with infertility[J]. J Androl, 1985, 6(1):15-19.
  • 7Donohue RE, Fauver HE. Unilateral absence of the vas deferens. A useful clinical sign [J]. JAMA, 1989, 261(8):1180-1182.
  • 8de la Taille A, Rigot JM, Mahe P, et al. Correlation between genito-urinary anomalies,semen analysis and CFTR genotype in patients with congenital bilateral absence of the vas deferens[J]. Br J Urol, 1998, 81(4):614-619.
  • 9Robert F, Bey-Omar F, Rollet J, et al. Relation between the anatomical genital phenotype and cystic fibrosis transmembrane conductance regulator gene mutations in the absence of the vas deferens[J]. Fertil Steril, 2002, 77(5):889-896.
  • 10Wu CC, Hsieh-Li HM, Lin YM, et al. Cystic fibrosis transmembrane conductance regulator gene screening and clinical correlation in Taiwan Residents males with congenital bilateral absence of the vas deferens[J]. Hum Reprod, 2004, 19(2):250-253.

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