odu med j

ODÜ Tıp Dergisi

2148-6816

Ordu University

Health Care Administration

Sağlık Kurumları Yönetimi

Varikosel Hastalarında Klinik, Laboratuvar ve Doppler Ultrasonografi Bulgularının Değerlendirilmesi

Evaluation of Clinical, Laboratory and Doppler Ultrasonography Findings in Patients with Varicocele

Akyol

Muammer

UNIVERSITY OF HEALTH SCIENCES, ELAZIĞ HEALTH RESEARCH CENTER, DEPARTMENT OF INTERNAL MEDICINE, RADIOLOGY SCIENCE MAJOR, UROGENITAL RADIOLOGY (MEDICINE) Öztürk

Tülin

FIRAT ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, RADYOLOJİ ANABİLİM DALI, TORAKS RADYOLOJİ BİLİM DALI Burakgazi

Gülen

FIRAT ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ÜROLOJİ ANABİLİM DALI Yıldırım

Hanefi

FIRAT ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ÜROLOJİ ANABİLİM DALI Orhan

İrfan

FIRAT UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF FORENSIC MEDICINE

05 31 2016

3 2 52 58 05 02 2014 04 14 2016

2014

ODÜ Tıp Dergisi

Klinik olarak varikosel tanısı konulan olgularda ve sağlıklı erkeklerde: renkli Doppler ultrasonografi bulgularının, testis hacimlerinin, sperm yoğunluğu-hareketinin, hormon seviyelerinin ve rezistivite-pulsatilite index’lerinin değerlendirilmesi hedeflendi. Yöntem: Bu çalışmaya fizik muayene ile varikosel tanısı konulan 100 olgu ve kontrol grubu olarak 20 sağlıklı kişi dahil edildi. Olguların fizik muayenesi yapıldıktan sonra gri skala-Doppler ultrasonografi, semen ve hormon analizi tetkikleri değerlendirildi. Bulgular: Doppler ultrasonografinin, subklinik varikosel tanısında önemli yeri olduğu ve klinik olarak varikosel tanısı alan olgularda fizik muayene ile benzer tanısal etkinliği olduğu saptandı. Hasta grupta testis hacimlerinin ve sperm sayıhareketinin azaldığı bulundu (p0.05). Sonuç: Varikosel tanısında fizik muayene ve renkli Doppler ultrasonografi birlikte uygulanmalıdır. Özellikle subklinik varikosel tanısında renkli Doppler ultrasonografi daha değerli bilgiler vermektedir. Testishacimlerine ve spermatogeneze varikoselin olumsuz etkisi olmaktadır

To evaluate the color Doppler ultrasonography findings, testicular volumes, sperm concentration-motility, hormone levels and resistivitypulsatility index values of testicular arteries in clinically diagnosed varicocele cases with healthy males. Materials and Methods: This study was conducted on 100 case subjects with varicocele diagnosis made by physical examination and a healthy control group of 20 volunteers. After the physical examination of case subjects were done: gray scale-color Doppler ultrasonography, semen analysis and hormone analysis of the subjects were made and the results were evaluated. Results: It was found that color Doppler ultrasonography has an important role in detection of subclinical varicocele. For clinically diagnosed cases of varicocele, the results of color Doppler ultrasonography was similar to physical examination. It was detected that testicular volumes and sperm count-motility were decreased in the patient group (p0.05).Conclusion: In varicocele diagnosis, physical examination and color Doppler ultrasonography should be performed together. Particularly in subclinical varicocele diagnosis, color Doppler ultrasonography is useful. Adverse effect of varicocele on testicular volumes and spermatogenesis was detected. Keywords: Varicocele, physical examination, color Doppler ultrasonography, testicular volume, semen analysis

Varicocele physical examination color Doppler ultrasonography testicular volume semen analysis.

Varikosel Fizik muayene Renkli Doppler ultrasonografi Testis hacmi Semen analizi. Varikosel Fizik muayene Renkli Doppler ultrasonografi Testis hacmi Semen analizi.

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