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目的:探讨超声检查在不育男性精索静脉曲张(VC)诊断中的临床意义。方法:使用彩色多普勒超声检查150例不育男性的精索静脉,了解不育男性精索静脉曲张的发病率,并且对超声检查与临床触诊两种方法的确诊率进行比较。结果:150例不育男性中超声检查共发现精索静脉曲张患者34例,经过触诊确诊17例,其敏感性、可靠性、特异性分别是多普勒超声的50%、89.47%、98.29%。结论:彩色多普勒超声检查明显优于临床触诊,是诊断精索静脉曲张的可靠方法,方法也较为简单、方便、无创伤性,值得临床上的推广。
Objective: To investigate the clinical significance of ultrasonography in the diagnosis of infertile men with varicocele (VC). Methods: 150 infertile men with varicocele were examined by color Doppler ultrasound to understand the prevalence of varicocele in infertile men. The diagnostic rates of two methods of ultrasound examination and clinical palpation were compared. Results: Among 150 infertile men, 34 cases of varicocele were detected by ultrasonography. After palpation, 17 cases were diagnosed by ultrasound. The sensitivity, reliability and specificity were 50%, 89.47%, 98.29 %. Conclusion: Color Doppler ultrasonography is superior to clinical palpation. It is a reliable method for the diagnosis of varicocele. The method is also simple, convenient and noninvasive, which deserves clinical promotion.