初诊早泄患者精囊腺经直肠超声的形态学特征

doi:10.3877/cma.j.issn.1674-3253.2021.03.014

目的

探讨初诊早泄患者精囊腺经直肠超声的形态学特征。

方法

回顾性收纳2017年7月至2018年12月初诊早泄患者36例，婚前常规体检者24例，分别观察精囊腺的经直肠超声表现，主要包括精囊腺的大小、内部回声及内部结构等，两组平均年龄均为24岁（22～27岁）同时详细询问两组受试者青春期有无手淫史、手淫史长短及手淫频率等。

结果

婚前常规体检者，精囊腺大小（31.0±9.7）mm，其中长度（31.0±2.1）mm，宽度（9.7±1.4）mm，大部分内部呈低回声或中低回声，内部结构清晰，精囊管腔很少扩张；其中45.8%（11/24）的患者青春期手淫史>6个月，33.3%（8/24）的患者手淫频率>2次/周。而初诊早泄患者，与婚前常规体检者相比，精囊腺大小（26.±7.3） mm （P<0.001），其中长度（26.6±1.4） mm（P<0.001），宽度（7.3±1.3） mm（P<0.001），内部回声增高及结构欠清晰；其中80.6%（29/36）的患者青春期手淫史>6个月（P=0.011），75%（27/36）的患者手淫频率大于2次/周（P=0.003）。

结论

初诊早泄患者精囊腺经直肠超声的形态学特征是精囊腺减小、内部回声增高及结构欠清晰。

关键词: 早泄, 精囊腺, 经直肠超声

Objective

To evaluate the morphological characteristics of transrectal ultrasound(TRUS) on seminal vesicle of the patients with initial diagnosis of premature ejaculation.

Methods

Between July 2017 and Dec 2018, the morphological characteristics of TRUS on the seminal vesicle, such as the size, echo and structure of the seminal vesicle, were evaluated on 60 patiets, including 36 cases with initial diagnosis of premature ejaculation and 24 cases with premarital rountine examination. The mean age of the patients in two groups was 24 years (range 22 to 27 years). The details about the length of masturbation and the frequency of masturbation in the presence or absence of masturbation about all the subjects during their puberty were recorded.

Results

The size, echo and structure of the seminal vesicle, the rate of the length of masturbation (>6 months) and the frequency of masturbation (>twice per week) during the puberty on the patients with initial diagnosis of premature ejaculation and the other with premarital rountine examination were (31.0±9.7) mm and (26.6±7.3) mm (P<0.001), obscore and clear,echo enhancement and echo normalment, 80.6%(29/36) and 45.8%(11/24) (P=0.011), 75%(27/36) and 33.3%(8/24) (P=0.003), respectively.

Conclusion

The morphological characteristics of TRUS on seminal vesicle of the patients with initial diagnosis of premature ejaculation include reduction, the obscure structure and echo enhancement of the seminal vesicle.

Key words: Premature ejaculation, Seminal vesicle, TRUS

图1 婚前体检者精囊腺经直肠超声示

图2 初诊早泄患者精囊腺经直肠超声示

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Morphological characteristics of transrectal ultrasound on seminal vesicle of the patients with initial diagnosis of premature ejaculation

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Morphological characteristics of transrectal ultrasound on seminal vesicle of the patients with initial diagnosis of premature ejaculation