亚临床型精索静脉曲张的诊疗在男性不育症中的临床意义  

Clinical Significance of the Diagnosis and Management of Subclinical Varicocele in Infertile Men

作　　者：唐亮[1] 于德新[1] 方卫华[1] 江山[1] 施浩强[1] 廖贵益[1] 赵磊[1] 李亮[2] 

机构地区：[1]安徽医科大学附属医院泌尿外科一病区,合肥230022 [2]安徽医科大学附属医院超声诊断室

出　　处：《临床泌尿外科杂志》2009年第4期297-299,共3页Journal of Clinical Urology

摘　　要：目的:探讨亚临床精索静脉曲张诊疗在男性不育症中的临床意义。方法:回顺性分析28例精液异常的亚临床型精索静脉曲张男性不育患者的病史特点、术前诊断及手术疗效等临床资料。结果:术后患者的精子密度、活率、活力均较术前有所改善,而精液量、精子形态、液化时间等无显著变化,术后18个月时9例患者配偶自然受孕,另有3例行同源人工授精受孕成功。结论:CDFI是诊断SCV的一种简便、可靠的方法,对亚临床型精索静脉曲张进行及时的诊断和治疗,可不同程度提高男性不育症患者的精液质量及配偶受孕率。Objective： To discuss the clinical significance of the diagnosis and management in Infertile men caused by subclinical varicocele （SVC）. Methods：We retrospectively analyzed the datas of 28 cases with masculine sterile caused by subclinical varicocele. Results： Sperm density, motility rate and vigor were signficant improvements, but semen volume, morph, liquefaction time no significant changes after the operation of subclinical varico-cele. Of 9 patients＇ spouses became spontaneous pregnant and 3 spouses became pregnanVsuccessfully by artificial insemination-husband in 18 months after sugery. Conclusions：Color Doppler flow imaging （CDFI） is a convenient and reliable method for diagnosing SVC. The sperma quality and spouse conception rate can be improved by healing SVC.

关 键 词：精素静脉曲张 亚临床型 不育症 

分 类 号：R697[医药卫生—泌尿科学]