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題 名 | Color Doppler Ultrasound Used for Screening Varicocele: The Clinical Significance as Compared to Physical Examination=彩色都卜勒超音波應用於篩檢精索靜脈曲張:其臨床意義與理學檢查之比較 |
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作 者 | 陳志碩; 朱聖賢; 莊正鏗; | 書刊名 | 長庚醫學 |
卷 期 | 18:4 1995.12[民84.12] |
頁 次 | 頁341-346 |
分類號 | 415.728 |
關鍵詞 | 精索靜脈曲張; 彩色都卜勒超音波; Varicocele; Color doppler ultrasound; |
語 文 | 英文(English) |
中文摘要 | Acuson 128xP彩色都卜勒超音波於民國81年11月開始應用於長庚醫院不孕症門診。本篇為一回溯性分析。其中74例不孕症病人和82例非不孕症病人但主訴陰囊不適,且其理學檢查認定臨床上有明顯的精索靜脈曲張。在不孕症病人中亞臨床性精索靜脈曲張占了27%。它幾乎為兩側性發生,而且只能經由彩色都卜勒超音波偵測出來而無法由理學檢查確認。相反地、經理學檢查認定有精索靜脈曲狂的病人,卻有26.8%可被彩色都卜勒超音波認定為陰性。本篇認為彩色都下勒超音波是一簡單方便,有效且不具侵襲性的篩檢工具。它幫助泌尿科醫師避免主觀理學檢查上精索靜脈曲張的認定,而減少無謂的手術,亦可篩檢出不孕症具有亞臨床或精索靜脈曲張病人。 |
英文摘要 | The Acuson 128 XP color Doppler ultrasound (CDUS) unit has been applied to cases of infertility in the Chang Gung Memorial Hospital infertility clinic since November 1992. seventy-four infertile males (group I) and 82 fertile cases (group II) with clinical obvious varicocele (detected by physical examination) were enrolled in this retrospective analysis. Subclinical varicocele (27%) may account for large group of the infertile men. It occurs almost bilaterally and can only be detected by CDUS. On the contrary, 26.8% of the cases witih clinical obvious varicocele can be objectively ruled out by CDUS. Color Doppler ultrasound proved to be an easy, effective, convenient and noninvasive instrument for determining subclinical varicocele. It also helped to avoid unnecessary varicocelectomy in cases as judged by physical examination alone. |
本系統中英文摘要資訊取自各篇刊載內容。