国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2012年
4期
475-478
,共4页
精索静脉曲张%雌激素类
精索靜脈麯張%雌激素類
정색정맥곡장%자격소류
Varicocele%Estrogens
目的 探讨原发性情索静脉曲张VC与中老年男性雄激素部分缺乏症(DADAM)的关系.方法 收集40岁以上原发性精索静脉曲张146例合并PADAM86例患者的监床资料,86例患者的临床症状行PADAM量表评分和精索内静脉高位结扎,其中72例术后给予雄激素替代治疗(TST).结果 146例VC患者合并PADAM86例,发病率68.3％,具有体能血管舒缩症状者72例(83.7％),精神心理症状者68例(79.2％),性功能症状者71例(82.5％),血清睾酮(T)含量小于2.8ng/d 110例(11.6％),2.8ng/dl ～ 4ng/dl62例(72.1％).86例患者经手术加TST治疗后,临床症状评分由22(20～40),下降为10(8～10),T小于2.8ng/dl 10例和T2.8ng～ 4ng/dl的62例患者血清T含量恢复正常,晨间阴茎勃起和性活动频次增加.结论 对40岁以上已生育的VC合并PADAM的患者建议手术治疗,对于血清睾酮水平小于正常或正常偏低者给予TST.
目的 探討原髮性情索靜脈麯張VC與中老年男性雄激素部分缺乏癥(DADAM)的關繫.方法 收集40歲以上原髮性精索靜脈麯張146例閤併PADAM86例患者的鑑床資料,86例患者的臨床癥狀行PADAM量錶評分和精索內靜脈高位結扎,其中72例術後給予雄激素替代治療(TST).結果 146例VC患者閤併PADAM86例,髮病率68.3％,具有體能血管舒縮癥狀者72例(83.7％),精神心理癥狀者68例(79.2％),性功能癥狀者71例(82.5％),血清睪酮(T)含量小于2.8ng/d 110例(11.6％),2.8ng/dl ～ 4ng/dl62例(72.1％).86例患者經手術加TST治療後,臨床癥狀評分由22(20～40),下降為10(8～10),T小于2.8ng/dl 10例和T2.8ng～ 4ng/dl的62例患者血清T含量恢複正常,晨間陰莖勃起和性活動頻次增加.結論 對40歲以上已生育的VC閤併PADAM的患者建議手術治療,對于血清睪酮水平小于正常或正常偏低者給予TST.
목적 탐토원발성정색정맥곡장VC여중노년남성웅격소부분결핍증(DADAM)적관계.방법 수집40세이상원발성정색정맥곡장146례합병PADAM86례환자적감상자료,86례환자적림상증상행PADAM량표평분화정색내정맥고위결찰,기중72례술후급여웅격소체대치료(TST).결과 146례VC환자합병PADAM86례,발병솔68.3％,구유체능혈관서축증상자72례(83.7％),정신심리증상자68례(79.2％),성공능증상자71례(82.5％),혈청고동(T)함량소우2.8ng/d 110례(11.6％),2.8ng/dl ～ 4ng/dl62례(72.1％).86례환자경수술가TST치료후,림상증상평분유22(20～40),하강위10(8～10),T소우2.8ng/dl 10례화T2.8ng～ 4ng/dl적62례환자혈청T함량회복정상,신간음경발기화성활동빈차증가.결론 대40세이상이생육적VC합병PADAM적환자건의수술치료,대우혈청고동수평소우정상혹정상편저자급여TST.
Objectives To discuss the correlation between varicocele and Partial Androgen Deficiency in Aging Males.Methods Retrospectively analyzed the clinical data of 86 cases(40years or older)who suffer from primary varicocele with PADAM.All the petient were given PADAM measuring form and high ligation of spermatic vein,including 72 patients undenwent androgen replacement therapy after operation.Results We found 86 cases of varicocele with Partial Androgen Deficiency in Aging Males in 126 patients of varicocele,and the incidence is 68.3％,including 72 cases with Physical exerciee and vasomotor symptoms,68 cases with mental psychological symptoms;71 cases with sexual disturbance,110 cases whoes serum tesi 、osterone below 2.8ng/dl,and 62 cases with serum testoeterone between 2.8-4ng/d1.After operation and androgen replacement therapy,clinical symptom score was decreased form 22 ( 20 ～ 40 ) to 10 ( 8 ～ 10 ).Serum tertosterone became nonnal in 62 cases ( T ＜ 2.8 ng/dl & 2.8 ＜ T＜4 ng/dl ),whoes frequency of morning erection and sexual activity increased.Conclusions The patients(40years or older)who suffer from primary varicocele with PADAM shoud better take operation.While the patients whoesserum testosterone were lower than those of healthy subjects or at the lower level of normal limit should take androgen replacelnent therapy.
