超声显像对男性不育病因诊断及转归.docVIP

超声显像对男性不育病因诊断及转归 　【摘要】 目的 应用超声诊断对男性不育的病因以及治疗后的转归分析。方法 采用日本东芝纳米30型及西门子亚当等超声诊断仪器，一般采用经腹壁探测法，膀胱适度充盈，对前列腺做横向切面或纵向切面，观察前列腺整体图像，或经直肠观察前列腺内、外腺。用7.5兆赫探头对睾丸、附睾丸精索静脉探测。结果 我院十余年来共诊断1167例此类病患，其中817例患者因前列腺炎、精囊炎、睾丸及附睾炎，精索静脉曲张等而导致男性不育。结论 我们对817例男性患者小器官的病因超声诊断，如前列腺炎并增生患者都伴有泌尿系感染症状，性功能差，阳痿早泄，导致败精内阻，都是导致男性不育的主要原因，经治疗后，83%治愈，75%患者成为了孩子的父亲，所以男性小器官对男性不育是非常重要的，必须提高男性身心健康和生理性知识。 【关键词】 超声显像；前列腺；精囊；睾丸附睾；精索静脉 【Abstract】 Objective To study etiological diagnosis and turnover of ultrasonography for male sterility. Methods Using TOSHIBA Nami 30 and Siemens Adam ultrasound diagnosis instruments after the abdomen searches the measurement compared to the wall, the urinary bladder moderately full. The crosswise section or the longitudinal section to the prostate was conducted. The prostate gland overall image or after rectum observation in or outside the prostate was observed with 7.5 megahertz poke head in to the orchita and attaching epididymis from vein survey. Results In the past ten years, the hospital diagnose 1167 sicknesses like this, in which, 817 male sterile patients sick from prostatitis, orchitis, orchiepididy nitis and varicocele.Conclusion After diagnosing small organ of 817 male patients, we find all the prostatitis and the hyperplasia patients accompany the main causes such as nature function difference, sexual weak, impotence and prospermia, leading to decayed essence internal resistance, all being to lead to male infertility. After treatment, 83% patients cure, 75% patients become to the children?s father. So the small organ is very important to male infertility, and it’s necessary to improve the male sex from body and mind’s health and physiology knowledge. 【Key words】 Ultrasonic visualization; glandula; glandula seminalis; orchis; epididymis; spermatic vein 文章着重分析我院十多年来应用超声显像对817例男性不育症及性功能障碍患者病因诊断，本资料来自不孕症专科和泌尿专科，病因包括前列腺疾病、精囊炎、睾丸及附睾病变、精索静脉曲张等男性小器官病因诊断。 　　1 资料与方法 1.1 一般资料 在817例男性前列腺疾病中，前列腺炎360例，前列腺炎关增生100例，前列腺结石50例，前列腺囊肿2例，前列腺肿瘤10例，前列腺脓肿3例，前列腺癌1例。慢性精囊炎80例，精索静脉曲张100例，睾丸及附睾炎10