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目的:探讨输精管结扎术后1年内附睾大小的动态变化。方法:选择50例自愿接受输精管结扎术的结扎对象,应用彩色多普勒超声在术前及术后1、2、3、6、12个月检查附睾的形态大小及内部回声。结果:术后50例受术者双侧附睾均出现增厚,术后1个月与术前比较、术后2个月与术后1个月比较、术后3个月与术后2个月比较、术后6个月与术后3个月比较,差异均有统计学意义(P均<0.01);术后12个月与术后6个月比较,差异无统计学意义(P﹥0.05)。结论:输精管结扎术后近期附睾主要超声表现为附睾增厚。术后6个月内附睾呈进行性增厚,术后6个月附睾基本恢复分泌-吸收平衡。
Objective: To investigate the dynamic changes of the size of the epididymis within one year after vasectomy. Methods: Fifty patients undergoing vasectomy were randomly selected. The morphology and internal echo of the epididymis were examined preoperatively, 1, 2, 3, 6 and 12 months after operation by color Doppler sonography. Results: 50 cases of postoperative patients with bilateral epididymis were thickening, 1 month after surgery compared with preoperative, 2 months after surgery and 1 month after surgery, 3 months after surgery and 2 after surgery (P <0.01). There was no significant difference in the 12 months after operation and 6 months after operation (P> 0.05). Conclusion: The main epididymis of the epididymis is epididymal thickening after vasectomy. The epididymis showed progressive thickening within 6 months after operation, and the epididymis basically recovered and secreted - absorbed balance 6 months after operation.