CAJ | 학술논문

目的观察精索静脉曲张不育症患者行手术治疗后的效果.方法回顾性分析2004-2007年行经腹膜后精索静脉高位结扎术(改良Palomo术式)治疗的精索静脉曲张不育症180例,观察手术治疗后精液参数的变化及配偶的受孕情况.结果 180例手术均获成功,患者手术前后精液参数改善差异有统计学意义(P均＜0.05),配偶妊娠率为52.8%(95/180),其中术后3个月内妊娠1O例,术后3～6个月47例,术后6～12个月25例,术后12～24个月13例.结论手术治疗精索静脉曲张不育症的长期效果良好,是首选方法.
목적 관찰정색정맥곡장불육증환자행수술치료후적효과.방법 회고성분석2004-2007년행경복막후정색정맥고위결찰술(개량Palomo술식)치료적정색정맥곡장불육증180례,관찰수술치료후정액삼수적변화급배우적수잉정황.결과 180례수술균획성공,환자수술전후정액삼수개선차이유통계학의의(P균＜0.05),배우임신솔위52.8%(95/180),기중술후3개월내임신1O례,술후3～6개월47례,술후6～12개월25례,술후12～24개월13례.결론 수술치료정색정맥곡장불육증적장기효과량호,시수선방법.
Objective To observe the long-term effect of surgical treatment in infertile varicocele patients. Methods 180 infertile patients with varicocele accepted modified Palomo operation (retroperitoneal high ligation of internal spermatic cord vein) from 2004 to 2007, and the long-term effect of thesurgery were analyzed retrospectively, such as semen parameters and spouse pregnancy. Results The operations were performed successfully in 180 cases, and semen parameters improved significantly after the surgery (Ps ＜ 0. 05 ).Among all patients, 10 cases had spouse pregnancy within 3 months after operation;47 cases had spouse pregnancy from 3 to 6 months after operation; 25 cases had spouse pregnancy from 6 to 12 months after operation;13 cases had spouse pregnancy from 12 to 24 months after operation. The fertility rate was 52. 8% (95/180) in total. Conclusion Surgical treatment of infertile male patients with varicocele has good long-term effects, made it the first choice in these patients.