世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2014年
26期
105-106
,共2页
双精索静脉曲张%男性不育%精索静脉曲张手术%精子质量
雙精索靜脈麯張%男性不育%精索靜脈麯張手術%精子質量
쌍정색정맥곡장%남성불육%정색정맥곡장수술%정자질량
two-sided varicoceles%male infertility%varicoceletomy%semen quality
目的：探讨双侧精索静脉曲张右侧为亚临床型不育患者应行单侧还是双侧精索静脉高位结扎术。方法收集70例双侧精索静脉曲张患者，左侧精索静脉曲张均经彩超诊断为临床型，右侧均为亚临床型，其中单行左侧精索静脉高位结扎术者35例，双侧精索静脉高位结扎术者35例，对两组患者手术前后的精子密度、精子活率、精子活力、正常精子百分率进行对比。结果双侧精索静脉曲张行左侧或双侧患者手术前后精子密度、精子活率、精子活力、正常精子百分率均有明显改善（P<0.01），两组之间治疗前后各参数改变的百分比的比较无差异性（P>0.05）。结论双侧精索静脉曲张右侧为亚临床型曲张患者可仅行左侧精索静脉高位结扎术。
目的：探討雙側精索靜脈麯張右側為亞臨床型不育患者應行單側還是雙側精索靜脈高位結扎術。方法收集70例雙側精索靜脈麯張患者，左側精索靜脈麯張均經綵超診斷為臨床型，右側均為亞臨床型，其中單行左側精索靜脈高位結扎術者35例，雙側精索靜脈高位結扎術者35例，對兩組患者手術前後的精子密度、精子活率、精子活力、正常精子百分率進行對比。結果雙側精索靜脈麯張行左側或雙側患者手術前後精子密度、精子活率、精子活力、正常精子百分率均有明顯改善（P<0.01），兩組之間治療前後各參數改變的百分比的比較無差異性（P>0.05）。結論雙側精索靜脈麯張右側為亞臨床型麯張患者可僅行左側精索靜脈高位結扎術。
목적：탐토쌍측정색정맥곡장우측위아림상형불육환자응행단측환시쌍측정색정맥고위결찰술。방법수집70례쌍측정색정맥곡장환자，좌측정색정맥곡장균경채초진단위림상형，우측균위아림상형，기중단행좌측정색정맥고위결찰술자35례，쌍측정색정맥고위결찰술자35례，대량조환자수술전후적정자밀도、정자활솔、정자활력、정상정자백분솔진행대비。결과쌍측정색정맥곡장행좌측혹쌍측환자수술전후정자밀도、정자활솔、정자활력、정상정자백분솔균유명현개선（P<0.01），량조지간치료전후각삼수개변적백분비적비교무차이성（P>0.05）。결론쌍측정색정맥곡장우측위아림상형곡장환자가부행좌측정색정맥고위결찰술。
Objective to evaluate the changes of semen quality before and after varicoceletomy in infertile patients, these patients with two sided varicoceles all have a sub-clinical varicocele on the right side, thus providing evidence for the clinical care and prognosis.Methods 70 cases of infertile varicocele patients on the both sides were selected, and patients with left side varicocele were diagnosed with clinical and sub-clinical varicocele by color doppler ultrasound. 35 patients were treated with the left varicoceletomy, and 35 cases were treated with the both varicoceletomy. the changes of semen quality including sperm density, sperm motility, sperm vitality, and percentage of normal sperm were compared before and after varicoceletomy between patients in two groups.Results the sperm density, sperm motility, sperm vitality and percentage of normal sperm of infertile varicocele patients after varicoceletomy were improved in both two groups (p<0.05); there was no difference in indicators of the two groups before and after varicoceletomy(p>0.05).Conclusion the patients with both varicocele diagnosed with a subclinical varicocele on the right side should be treated with varicoceletomy on the left side only.
