【摘要】 目的　对常用的 4种精索静脉曲张症诊断方法进行评价。方法　①临床体检 ;②彩色多普勒超声血流图检查 ;③精索内静脉造影 ;④阴囊血池扫描。结果　临床体检初诊为精索静脉曲张症的 5 82例患者 ,492例进行了彩色多普勒超声血流图检查 ,单纯左侧精索静脉曲张占 12 8% ( 63例 / 492例 ) ,双侧精索静脉曲张为 87 2 % ( 4 2 9例 / 492例 )。 40例进行了精索内静脉造影术 ,均发现左侧精索静脉血液返流 ,右侧精索静脉插管困难 ,未能进行造影检查。 3 8例进行了阴囊血池扫描 ,均发现左侧同位素显像较右侧强。结论　初诊时应以临床体检作出初步诊断。进一步确诊时推荐使用彩色多普勒超声血流图检查 ,其结果可靠。精索内静脉造影术是创伤性方法 ,且无法对右侧精索静脉曲张作出诊断 ;同位素阴囊血池扫描无法对双侧精索静脉曲张进行诊断 ,均无应用价值。更多还原

【Abstract】 Objective To evaluate four methods for diagnosing the varicocele.Methods ①physical palpation in standing position with valsalva maneuver (method-1);②color Doppler utrasonography (method-2); ③retrograde venography of the internal spermatic vein (method-3);④Blood pool scan of the scrotum (method-4).Results 582 patients were examined by Method-1 and shown to have varicocele. Among them, 492 were further evaluated by using Method-2. The incidence of left varicocele alone and bilateral varicocele were 12 8% and 87 2%, respectively. Method-3 was used in 40 cases. Refux of left spermatic blood was noted in all 40 patients. 38 patients were evaluated by Method-4. There was more radioactivity in left hemisrotum than that of the right.Conclusion ①useing Method-1 combined with Method-2 can be helpful in diagnosis of varicocele. ② Method-3 and Method-4 have less pratical use since they can not detect changes of bilateral varicoceles.更多还原