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目的探讨经体表及经直肠超声联合检查在男性不育症病因筛查的临床价值。方法对比经体表及经直肠超声联合检查与经体查触男性不育患者465例阳性检出率及精索静脉曲张检出率。结果经体表及直肠超声联合检查占位性病变共计362例。阳性检出率77.85%,其中精索静脉曲张检出率32.47%。经体查触诊占位性病变共计196例、阳性检出率42.15%,其中精索静脉曲张检出率17.85%。触诊的敏感性仅为超声检查的54.61%。结论经体表及经直肠超声检查在男性不育中可以检出较多常规检查不能检出的病变,为临床治疗提供了依据,值得推广。
Objective To investigate the clinical value of combined screening of the superficial and transrectal ultrasound in the screening of male infertility. Methods 465 cases of male infertility patients who underwent physical examination combined with transrectal ultrasound examination were compared with the positive detection rate and varicocele detection rate. Results Totally 362 cases of space-occupying lesions were examined by body surface and rectal ultrasound. The positive detection rate was 77.85%, of which varicocele detection rate was 32.47%. Palpation by palpation accounted for a total of 196 cases of space-occupying lesions, the positive rate was 42.15%, of which varicocele detection rate of 17.85%. The sensitivity of palpation was only 54.61% of that of ultrasound. Conclusion The body surface and transrectal ultrasonography can detect more lesions that can not be detected by routine examination in male infertility, which provides a basis for clinical treatment and is worth promoting.