CORRELATION OF TESTICULAR COLOR DOPPLER ULTRASONOGRAPHY, PHYSICAL-EXAMINATION AND VENOGRAPHY IN THE DETECTION OF LEFT VARICOCELES IN MEN WITH INFERTILITY
CORRELATION OF TESTICULAR COLOR DOPPLER ULTRASONOGRAPHY, PHYSICAL-EXAMINATION AND VENOGRAPHY IN THE DETECTION OF LEFT VARICOCELES IN MEN WITH INFERTILITY
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DOI：
10.1016/s0022-5347(17)38451-3
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发表时间：
1991-04-01
影响因子：
6.6
通讯作者：
PICUS, DA
中科院分区：
文献类型：
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作者：
PETROS, JA;ANDRIOLE, GL;PICUS, DA
高分辨率彩色多普勒超声是一种同时成像和评估睾丸血流的非侵入性手段。为了确定彩色多普勒超声检测临床上明显和亚临床精索静脉曲张的能力，如果有体格检查和/或彩色多普勒超声证据表明精索静脉曲张，我们泌尿科的少精症和不孕症患者接受左睾丸精索静脉造影。静脉造影发现瓣膜功能不全被认为是精索静脉曲张的诊断。在17例研究患者中，体格检查发现14例静脉曲张中有10例（71%），而彩色多普勒超声检查发现14例中有13例（93%）。5例体格检查正常但彩色多普勒超声提示精索静脉曲张的患者中，4例有确证性静脉曲张，2例精索静脉曲张体格检查和超声检查正常的患者中有1例静脉曲张阳性。这些数据表明，睾丸彩色多普勒超声可能比单独体检更适合指导进一步的侵入性检查和治疗。
High resolution color Doppler ultrasound is a noninvasive means of simultaneously imaging and evaluating the blood flow to the testes. To define the ability of color Doppler ultrasound to detect clinically evident as well as subclinical varicoceles men referred to our urology division with oligospermia and infertility underwent spermatic vein venography of the left testis if there was physical examination and/or color Doppler ultrasound evidence of a varicocele. The detection of valvular incompetence on venography was considered diagnostic for a varicocele. Of 17 study patients physical examination detected 10 of 14 venographically evident varicoceles (71%), whereas color Doppler ultrasound detected 13 of 14 (93%). Of 5 patients with a normal physical examination but with color Doppler ultrasound evidence of a varicocele 4 had a confirmatory venogram, and 1 of 2 patients with a varicocele on physical examination and a normal Doppler ultrasound had a positive venogram. These data suggest that color Doppler ultrasound of the testis may more appropriately direct further invasive testing and therapy of infertile men than physical examination alone.