诊断学理论与实践2023，Vol.22Issue(4)：369-373,5.DOI:10.16150/j.1671-2870.2023.04.006
超声检查在无精症病因诊断中的应用价值
Value of ultrasound in the etiological diagnosis of azoospermia
姚世发 1陈萍 1李亮 1牛建梅1
作者信息
- 1. 上海交通大学医学院附属国际和平妇幼保健院超声科,上海 200030||上海市胚胎源性疾病重点实验室,上海市临床重点专科(建设项目)-"强主体"妇产科,上海 200030
- 折叠
摘要
Abstract
Objective:To explore the application value of ultrasound in the etiological diagnosis of azoospermia.Methods:Three hundred and fourteen consecutive cases of azoospermia diagnosed in our hospital from January 1,2015 to December 31,2021 were retrospectively analyzed,and their clinical data and ultrasonic examination results were summa-rized and analyzed.Results:Among 314 patients,118(37.6％)had obstructive azoospermia(OA)and 196(62.4％)had non obstructive azoospermia(NOA).Among OA patients,89％(105 cases)showed positive ultrasound findings,including congenital bilateral vas deferens absence(40 cases),ejaculatory duct obstruction(33 cases),inflammatory lesions(17 cases),and calcified lesions(15 cases);Among 196 patients with NOA,40.3％(79 cases)had positive ultrasound findings,including small testis(45 cases),cryptorchidism(13 cases),testicular microlithiasis(16 cases),and varicocele(5 cases).Conclusions:Among the 314 patients with azoospermia in this study,the ratio of NOA to OA is 1.66∶1.Ultrasound examination is able to identify the etiology of 58.6％of the patients,including 89％of the causes of OA and 40.3％of the causes of NOA.关键词
超声检查/梗阻性无精症/非梗阻性无精症Key words
Ultrasonography/Obstructive azoospermia/Non-obstructive azoospermia分类
医药卫生引用本文复制引用
姚世发,陈萍,李亮,牛建梅..超声检查在无精症病因诊断中的应用价值[J].诊断学理论与实践,2023,22(4):369-373,5.
