输精管结扎术后痛性结节和附睾郁积症与抗精子抗体的关系

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本文采用Kibrick、Franklin-Dukes和Isojima三种试验法,对输精管结扎术后无并发症者253例,有痛性结节和附睾郁积症者20例,以及未作输精管结扎的正常对照者319例的血清进行了检测。其结果显示输精管结扎术后这三种方法的阳性率和滴度都有非常显著的提高,但在输精管结扎术后有和无痛性结节及附睾郁积症两组间,这三种方法的阳性率无显著差异。在有这两种并发症组中,Franklin-Dukes试验的滴度高而kibrick和Isojima试验的滴度却低。因此,测定血清中的抗精子抗体对诊断痛性结节和附睾郁积症以及估价其严重程度是无助的。 In this paper, Kibrick, Franklin-Dukes and Isojima three test methods, no complications after vasectomy 253 cases, painful nodules and epididymitis in 20 cases, as well as the normal control without vasectomy in 319 cases The serum was tested. The results showed that the three methods after vasectomy positive rate and titer have a very significant increase, but after vasectomy and painless nodules and epididymitis between the two groups, the three methods Positive rate no significant difference. In both complication groups, the titer of the Franklin-Dukes test was high but the titers of the kibrick and Isojima tests were low. Therefore, the determination of anti-sperm antibodies in serum is not helpful in the diagnosis of painful nodules and epididymitis as well as the assessment of its severity.
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