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目的评价附睾囊肿诊断及在梗阻性无精子症(obstructive azoospermia,OA)诊断中的价值。方法将2010年初步诊断为梗阻性无精子症患者105例,其中同意进行附睾穿刺(percutaneous epididymalsperm aspiration,PESA)97例,使用彩色多普勒超声等综合诊断是否有附睾囊肿。将其分为附睾囊肿组和非附睾囊肿组,比较附睾囊肿和有无精子的关系;同时分析附睾囊肿部位和取精情况。结果附睾囊肿组有精子的发生率要高于无附睾囊肿组(P<0.05),彩色多普勒超声和体格检查均可以作为附睾囊肿的诊断方法,差异无统计学意义(P>0.05)。结论梗阻性无精子症可以伴随附睾囊肿,附睾囊肿可以辅助分析无精子症的类型,辅助定位PESA的穿刺部位。
Objective To evaluate the diagnosis of epididymal cyst and its value in the diagnosis of obstructive azoospermia (OA). Methods A total of 105 patients with obstructive azoospermia were initially diagnosed in 2010. Among them, 97 patients accepted percutaneous epididymal sperm aspiration (PESA). All patients were diagnosed with epidural cyst by color Doppler sonography. Divided into epididymal cyst group and non-epididymal cyst group, compared the relationship between epididymal cyst and the presence or absence of sperm; at the same time analyze the epididymal cyst site and take off the situation. Results The incidence of spermatozoa in epididymal cyst group was higher than that in epididymal cyst group (P <0.05). Color Doppler ultrasound and physical examination could be used as the diagnostic method for epididymal cyst. There was no significant difference (P> 0.05). Conclusion Obstructive azoospermia can be accompanied by epididymal cysts, epididymal cysts can help analyze the type of azoospermia, PASA assisted positioning of the puncture site.