论文部分内容阅读
目的探究精索内动静脉同时结扎对睾丸动力学、生精功能及睾丸体积的影响。方法随机选取我院于2012年1月至2015年1月收治的精索静脉曲张患者80例为研究对象,并将其随机分为实验组40例和对照组40例,其中对照组患者采用精索静脉高位结扎术,实验组采用精索内动静脉同时结扎术,比较两组患者手术前后睾丸体积、血流动力参数以及精液质量的变化。结果两组患者睾丸动脉血流动力参数最大血流速度(Vmax)、最小血流速度(Vmin)、平均血流速度(Vmean)、搏动指数(PI)及阻力指数(RI)指标手术前后的差异并无统计学意义(P>0.05),两组间比较差异也无统计学意义(P>0.05);实验组患者的精子密度、精子活力、精子存活率等指标术后较术前有改善,差异具统计学意义(P<0.05),但与对照组患者对比差异无统计学意义(P>0.05);两组患者在手术前后的睾丸体积变化对比差异无统计学意义(P>0.05)。结论精索内动静脉同时结扎对精索静脉曲张患者的睾丸血流动力学、生精功能及睾丸体积等无不利影响,并且在改善精液质量方面有一定效果。
Objective To investigate the effects of simultaneous arteriovenous and venous ligation on testicular dynamics, spermatogenesis and testicular volume in spermatic cord. Methods A total of 80 patients with varicocele admitted to our hospital from January 2012 to January 2015 were randomly divided into experimental group (40 cases) and control group (40 cases). The control group was treated with fine Supine ligation of superior cord, the experimental group using spermatic vein ligation simultaneously, comparing the two groups of patients before and after testicular volume, hemodynamic parameters and semen quality changes. Results The difference of preoperative and postoperative indexes of testicular arterial hemodynamics parameters Vmax, Vmin, Vmean, pulsatility index (PI) and resistance index (RI) There was no significant difference between the two groups (P> 0.05). There was no significant difference between the two groups (P> 0.05). The indexes of sperm density, sperm motility, (P <0.05), but there was no significant difference between the two groups (P> 0.05). There was no significant difference in testicular volume between the two groups before and after operation (P> 0.05). Conclusions Simultaneous ligation of spermatic vein in spermatic cord has no adverse effect on testicular hemodynamics, spermatogenesis and testicular volume in patients with varicocele, and has certain effect in improving sperm quality.