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目的探讨青年精索静脉曲张程度与精液质量之间的相关性。方法回顾性分析来我院就诊的未婚青年精索静脉曲张患者共109例,通过精索静脉查体及彩色多普勒超声检查进行程度分级并分组,比较各组间精液量、精子浓度、精子存活率(%)、(A+B)级精子(%)等主要指标。结果各组间精液量均无统计学差异(P>0.05)。0级、1级和2级曲张病人的精子浓度、精子活率及(A+B)级精子(%)比较无统计学差异(P>0.05),但均高于3级曲张病人,差异有统计学意义(P<0.05)。结论 2级及以下精索静脉曲张对青年精液质量影响较小,如为改善精液质量而手术,应避免手术指征扩大。
Objective To explore the correlation between the degree of varicocele in young people and semen quality. Methods Retrospective analysis of 109 unmarried young varicocele patients who came to our hospital for retrospective analysis. The patients were graded by spermatic vein examination and color Doppler echocardiography and divided into groups. The semen volume, sperm concentration, Survival rate (%), (A + B) grade sperm (%) and other major indicators. Results There was no significant difference in semen volume between groups (P> 0.05). There were no significant differences in sperm concentration, sperm motility and (A + B) sperm (%) between grade 0, grade 1 and grade 2 patients (P> 0.05), but both were higher than those in grade 3 varicose patients Statistical significance (P <0.05). Conclusion Grade 2 and below varicocele has little effect on the quality of young semen. If surgery is to improve semen quality, surgical indication should be avoided.