30歲的楊先生和妻子結婚後,每天努力「做人」,但嘗試1年仍不見起色。自上禮拜開始,楊先生便不時感覺左側
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脹痛,於是在洗澡時低頭仔細檢查,才發現![🥚](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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陰囊![🥚](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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上竟有一條條蟲狀青筋浮凸。
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楊先生經過一番猶豫後, 終於決定赴![👨⚕️](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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泌尿科![👨⚕️](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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檢查,並也同時詢問醫師此症狀是否會影響生育。醫師要求楊先生脫下褲子後,低頭一看便説:「這應該是精索靜脈曲張,的確可能會導致不孕。」
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什麼是精索靜脈曲張?精索靜脈曲張(Varicocele)指男性![🥚](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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陰囊![🥚](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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精索處不正常的靜脈彎曲與擴大,也就是靜脈出現腫脹的情況,嚴重時以手觸摸或目視可發現陰囊上有一條條的浮凸的彎曲靜脈,形狀有如蚯蚓,且![🥚](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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陰囊![🥚](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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大小呈明顯不對稱。
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在年輕男性中,約有15%人會出現精索靜脈曲張,其中90%以上發生於左側![🥚](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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,10%兩側同時發生,但鮮少發生於右側![🥚](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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長時間站立者![💥](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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![💥](https://static.xx.fbcdn.net/images/emoji.php/v9/t99/1.5/16/1f4a5.png)
經常運動或長期用腹腔出力者![💥](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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生殖器機能旺盛、血液循環豐富,造成陰囊經常充血的青少年
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腎腫瘤![💥](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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腎積水![💥](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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腎周積膿![💥](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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輸尿管腫瘤![💥](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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腹膜後腫瘤![💥](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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髂靜脈梗塞![💥](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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肝硬化![💥](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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肝臟腫瘤![💥](data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==)
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精索靜脈曲張的症狀
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多數精索靜脈曲張患者無明顯症狀,常於體檢時被醫師診斷出來,但約2~3成患者會出現間歇性陰囊腫脹、疼痛或沉重感,且症狀會因性行為、長時間行走、久站或劇烈運動而加劇,並於平躺後緩解,但再次從事活動時又會復發。
若從外觀而言,精索靜脈曲張患者站立時,可發現患側睪丸位置偏低、精索粗大,睪丸後上方可見腫脹血管;症狀輕微者僅於腹部用力時才能摸到凸起的靜脈,嚴重者則可以肉眼清楚看見蚯蚓狀的曲張血管。
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然而,經手術將曲張之靜脈結紮後,約7成患者精蟲品質改善,並有3成患者於術後1年內成功自然受孕。
泌尿科不是只看男性泌尿疾病!
泌尿科的專業領域包括:
兩性泌尿系統:腎臟、輸尿管、膀胱、尿道
男性生殖系統:睪丸、輸精管、精索、攝護腺、陰莖、陰囊
如何確知自己是否有泌尿問題?
總的來說,如果您遇到任何這些男性的健康問題或對此有疑問,我們鼓勵您與我們的醫生預約。 我們可以為您提供評估並推薦相對適合的治療或改善生活方式的建議。
其他男性泌尿問題
更多有關男性泌尿問題檢查咨詢及評估:預約諮詢
性病檢查計劃HK$300-$2,350:預約諮詢
性傳染病檢查咨詢及評估檢查詳情:
http://www.mhsclinic.com.hk/our-services/std-check-up/std-checkup-plans/
參考資料:NOW健康