CAJ | 학술논문

目的：腹腔镜联合五子衍宗丸加桂枝茯苓丸治疗精索静脉曲张的疗效观察。方法：把70例精索静脉曲张的患者分成单纯腹腔镜手术组35例，联合治疗组35例（手术后服用五子衍宗丸加桂枝茯苓胶囊3个月），2组治疗前和治疗后6个月分别查精液常规，治疗前后检查结果进行比较。随访配偶怀孕情况。结果：手术后2组患者精子总数均增加，活动率有升高，正常形态精子率有明显改善，联合治疗组的精子密度、精子活率、精子活力（ a＋b）及正常形态精子较单纯手术组有明显改善，2组之间差异有统计学意义。结论：腹腔镜联合五子衍宗丸加桂枝茯苓胶囊可以明显改善精索静脉曲张。
목적：복강경연합오자연종환가계지복령환치료정색정맥곡장적료효관찰。방법：파70례정색정맥곡장적환자분성단순복강경수술조35례，연합치료조35례（수술후복용오자연종환가계지복령효낭3개월），2조치료전화치료후6개월분별사정액상규，치료전후검사결과진행비교。수방배우부잉정황。결과：수술후2조환자정자총수균증가，활동솔유승고，정상형태정자솔유명현개선，연합치료조적정자밀도、정자활솔、정자활력（ a＋b）급정상형태정자교단순수술조유명현개선，2조지간차이유통계학의의。결론：복강경연합오자연종환가계지복령효낭가이명현개선정색정맥곡장。
Objective:To observe the curative effect of Wuzi Yanzong Wan and Guizhi Fuling capsule combined with laparoscope in the treatment of varicocele patients .Methods:A total of 70 cases of varicocele patients were divided into laparoscopic operation group and comprehensive treatment group ( which took Wuzi Yanzong Wan and Guizhi Fuling Wan for 3 months after laparoscopic operation), with 35 cases in each group.Besides, semen routine testes were given to both groups before and after treatment in 6 months .Follow-up investigation focused on pregnancy situation .Results:The results show that the sperm quantity , semen activity and normal sperm morphology rate had improved obviously in patients of both groups .Moreover , semen density , semen survival rate, semen activity and normal morphology sperm of the comprehensive treatment group appear notable difference to the control group, with P<0.05.Conclusion:Combination of Wuzi Yanzong Wan and Guizhi Fuling capsule with laparoscope can signifi-cantly improve the condition of varicocele in infertile men .