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《Chinese Journal of Medical Imaging Technology》 2008-01
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Value of high frequency ultrasound in male infertility with varicocele

SHI Fu-wen~1 WANG Yan~(2*)HUANG Shan-shan~3 GUO Shun-li~1 CHEN Shun-jue~1 LIU Yi-pei~1 (1.Shijiazhuang Center Hospital,Shijiazhuang 050011,China; 2.The No.2 Hospital,Hebei Medical University,Shijiazhuang 050000,China 3.Shenzhen Hospital Beijing University,Shenzhen 518036,China)  
Objective To investigate the value of high frequency ultrasound in examing male infertility with varicocele,and discuss the effect of varicoeele on fertility.Methods Thirty-two healthy male volunteers(contral group)and 116 infertile men(infertility group)with left varicocele were examined.All the patients were divided into four subgroups.Internal sper- matic vein diameter(D_R)and testis volume were observed in a normal way.Such signs as internal spermatic vein diameter (D_v),the peak velocity of reflux(Vmax)and reflux time(T_R)were detected in Valsalva-test.Spermatozoid density and ac- tivity were tested.Results①D_R,D_v,Vmax and T_R among the four,subgroups and contral group were statistically signif- icant(P0.01).The differences among four subgroups were statistically significant each other(P0.01).Left testis vol- ume of four subgroups was smaller than that of the control group(P0.01).Difference of spermatozoid density between all the four subgroups and contral group was statistically significant(P0.05,P0.01).Difference of spermatozoid activity between all the four subgroups and control group was statistically significant(P0.01).There were significant differences of spermatozoid activity among four subgroups each other(P0.05).Conclusion There was significant positive correla- tion between severity of varicocele and intema] spematic vein diameter,the peak velocity of reflux and reflux time respective- ly.Varicoeele can cause testis volume and spermatozoid density and activity to decrease.High frequency ultrasound can pro- vide the accurate internal spematic vein diameter,hemodynamics and the testis volume for observing male infertility caused by varicocele.It helps to screen the reason and to assess the fertility of male infertility.
【CateGory Index】: R445.1
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