精索静脉曲张

最后审阅: 5 十一月 2022
最后更新: 23 十一月 2021

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 无痛性阴囊肿物
  • 左侧征/症状
  • 小睾丸
更多 关键诊断因素

其他诊断因素

  • 不育症
  • 年龄超过12岁
  • 阴囊或腹股沟疼痛
其他诊断因素

危险因素

  • 人体测量参数(高/低体重指数)
  • 精索静脉曲张家族史
更多 危险因素

诊断性检查

首要检查

  • 临床诊断
更多 首要检查

需考虑的检查

  • 阴囊的彩色多普勒超声血流成像
  • 精液分析
  • 血清卵泡刺激素(± 促性腺激素释放激素刺激 )
  • 血清睾酮
  • DNA碎片化指数(DFI)
  • 腹部/盆腔 CT
  • 腹部/骨盆 MRI
  • 腹膜后超声检查
更多 需考虑的检查

治疗流程

急症处理

青少年

成人

撰稿人

作者

Jay Ira Sandlow, MD

Professor and Vice-Chair

Department of Urology

Medical College of Wisconsin

Milwaukee

WI

利益声明

JIS declares that he has no competing interests.

Jagan K. Kansal, MD, MBA

Fellow in Male Reproductive and Sexual Health

Department of Urology

Medical College of Wisconsin

Milwaukee

WI

利益声明

JKK declares that he has no competing interests.

鸣谢

Dr Jay Ira Sandlow and Dr Jagan K. Kansal would like to gratefully acknowledge Dr Pravin Rao, Dr Miguel Pineda, Dr John C. Thomas, and Dr Wayne Kuang, previous contributors to this topic.

利益声明

PR, MP, JCT, and WK declare that they have no competing interests.

同行评议者

Siam Oottamasathien, MD

Assistant Professor

Division of Pediatric Urology

University of Utah

Primary Children's Medical Center

Salt Lake City

UT

利益声明

SO declares that she has no competing interests.

Jeffrey Donohoe, MD

Assistant Professor

Pediatric Urology

Medical College of Georgia

Augusta

GA

利益声明

JD declares that he has no competing interests.

Daniel H. Williams, MD

Assistant Professor

Department of Urology

Head

Section of Male Infertility and Andrology

University of Wisconsin School of Medicine and Public Health

Madison

WI

利益声明

DHW declares that he has no competing interests.

Edmund Sabanegh, Jr, MD

Director

Center for Male Fertility

Glickman Urological and Kidney Institute

Cleveland

OH

利益声明

ES declares that he has no competing interests.

  • 鉴别诊断

    • 睾丸旁肿物
    • 精索鞘膜积液
    • 腹股沟疝
    更多 鉴别诊断
  • 指南

    • 男性不育的诊断和治疗:AUA/ASRM 指南第 Ⅰ 部分
    • 男性不育的诊断和治疗:AUA/ASRM 指南第 Ⅱ 部分
    更多 指南
  • 患者教育信息

    生育能力问题:部分原因

    能育性问题:如何有效治疗?

    更多 患者教育信息
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