Определение возможностей ультразвуковой допплерографии в диагностике варикоцеле

Аннотация

Use color Doppler ultrasound 88 patients with varicocele I, II and III degree, aged 16 to 35 years. Of these, 22 patients diagnosed with subclinical varicoceles. All patients with subclinical varicoceles was not a pathological enlargement grozdevidnoe plexus. For the diagnosis of subclinical varicoceles were determined the following parameters Doppler ultrasound: 1) the maximum diameter of the veins more than 3 mm; 2) the presence of more than 4 plexus of varicose veins; 3) change in blood velocity Valsalva maneuver from 2 cm / sec to 10 cm / sec and determining retrograde blood flow (reflux). In all groups of patients score with subclini-cal varicoceles were recruited mainly due to changes in blood flow rate under a load. While in a clinical vari-cocele score was recruited by the maximum diameter of the venous plexus and the amount of varicose veins. This gives grounds to pave that grozdevidnoe plexus is only the tip of the iceberg, which does not give any idea of the true size of its violation of hemodynamics. Color Doppler ultrasound parameters make it possible to ac-curately diagnose subclinical varicocele, degree of pathological process and determination of the type of he-modynamic disturbances.