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显微外科手术治疗青年男性精索静脉曲张的疗效及安全性分析

Efficacy and safety of microsurgery for young male patients with varicocele

    摘要
  • 摘要:
      目的  探讨显微外科手术治疗青年男性精索静脉曲张(VC)患者的疗效及安全性。
      方法  选取46例青年VC患者，均在显微镜下行显微外科精索静脉结扎术。
      结果  46例患者均成功完成手术。术后随访3~12个月, 7例(13.00%)患者发生并发症如阴囊水肿、睾丸疼痛等，所有患者随访期间未出现VC复发。随访结果显示, 34例(73.90%)患者术后症状消失, 9例(19.60%)症状减轻, 3例(6.50%)症状无明显改善。所有患者术后第1、6、12个月精子密度、精子总数显著改善(P < 0.05), 精子DNA碎片率显著下降(P < 0.05), 精子存活率、a级和a+b级精子活力均显著升高(P < 0.05)。
      结论  显微镜下腹股沟切口精索静脉结扎术可有效改善青年VC患者的临床症状，提高精子质量。

     

    Abstract:
      Objective  To investigate the efficacy and safety of microsurgery for young male patients with varicocele (VC).
      Methods  A total of 46 young male patients with VC were treated with microsurgical varicocelectomy.
      Results  All of the 46 patients completed operation successfully. All the patients were followed up for 3 to 12 months, and 7 patients (13.00%) had complications such as scrotal edema and testicular pain. No recurrence of VC occurred during follow-up. Follow-up results showed that 34 patients (73.90%) had no symptoms after operation, 9 patients (19.60%) had less symptoms and 3 patients (6.50%) had no significant improvement. At 1, 6, 12 months after operation, sperm density and total sperm count significantly improved in all the patients (P < 0.05), sperm DNA fragmentation rate significantly decreased (P < 0.05), and sperm viability, sperm motility of grade a and grade a+b significantly increased (P < 0.05).
      Conclusion  Microscopic varicocelectomy through inguinal incision can effectively improve the clinical symptoms and sperm quality of young male patients with VC.

     

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