精囊腺疾病的超声诊断.doc

1 精囊腺疾病的超声诊断[摘要] 目的: 通过应用经直肠超声诊断精囊腺病变而评估其临床价值。方法:对 60 例共 110 个精囊腺病变进行经直肠超声探查并获得其声像图。结果: 经穿刺、手术和(或)CT 扫查证实的病变包括急性、慢性炎症、囊肿、结核、结石和转移癌。结论:经直肠超声探查精囊腺是一种简便、安全、准确的重要检查手段。[关键词] 经直肠超声;精囊腺;疾病 The Diagnosis of Seminal Vesiclel Diseases with Transcectal Ultrasound JIANG WEi,LI Jia 拟 pin , LIU Ying (Nanshan People ’s Hospital,Shenzhen,Guangdong 518055,China) 2 Abstract : Objective To explore the clinical value of transcectal ultrasound in seminal vesiclel Transcectal ultrasound were studied in 110 seminal vesiclels of 60 cases and ultrasonographys were Seminal vesiclel diseases including acute,chronic seminal vesiculitis,cyst,tuberculosis,calculi and tumormetastases were corrected by puncture,operation,and/or CT Detection of seminal vesiclel with transcectal ultrasound was a simple,safe,acurate method and has an important clinic significance. Key words : Transcectal ultrasound ; Seminal vesiclel ; Diseases 为探索精囊腺疾病有效的诊断手段,我们应用经直肠高频超声探头对 60 例临床怀疑精囊腺疾患的患者进行精囊腺的探查,经最终穿刺、手术和(或)CT 扫查证实为急性、慢性炎症、囊肿、结核、结石和转移癌。现报告如下。 3 1 资料与方法 一般资料患者为我院门诊及住院者, 60 例患者中主诉血精者 50例, 有血尿者 10例, 有性功能减退者 31例, 发热者 11 例,不育者 19 例,共 110 例异常精囊腺进行了经直肠超声多普勒检测。 方法应用 Sequioa 512 型彩色多普勒超声诊断仪, 凸弧形经直肠探头,频率 MHz 。检查前排空大便并清洗肛门及周围, 检查时膀胱内需有少量尿液。患者取左侧卧位, 使髋、膝关节半屈曲。将粘有少量耦合剂的探头放入避孕套内, 再外涂适量耦合剂, 随后将探头缓慢插入肛门, 根据需要调节探头的深度与方向。当荧光屏上精囊腺清晰显示时, 仔细观察其形态和内部回声以及邻近器官组织的图像测量数据及彩色多普勒频谱。 2 结果