青年男性不育症患者合并亚临床型精索静脉曲张手术疗效分析  

The therapeutic effect of operation on subclinical varicocele for young man with infertility

作　　者：张晨光[1] 钟伟[1] 

机构地区：[1]北京煤炭总医院泌尿外科,北京100028

出　　处：《中国医药导报》2012年第28期161-162,164,共3页China Medical Herald

摘　　要：目的探讨早期手术治疗亚临床型精索静脉曲张(SVC)对青年男性不育症患者的治疗效果。方法将62例经检查明确有SVC的青年男性不育患者,随机分为:A组(n=31),常规药物治疗+手术治疗组;B组(n=31),常规药物治疗组。比较分析两组间精液参数变化情况。结果治疗12周后,A组和B组的精子密度、活动率、液化时间及正常精子形态比例等指标均较治疗前有所改善,A组与治疗前比较,差异有统计学意义(P<0.05),B组与治疗前比较差异无统计学意义(P>0.05)。两组治疗后的精液参数比较,A组精液质量明显优于B组,差异有高度统计学意义(P<0.01)。A组患者配偶受孕成功率明显高于B组,差异有统计学意义(P<0.05)。结论手术治疗SVC张有助于进一步改善青年男性不育患者的精液质量。Objective To study therapeutic effect of operation on subclinical varlcocele （SVC） for young man with infertility. Methods 62 young male patients with SVC were divided into two groups： group A （n = 31） treated with routine drug and operation therapy, group B （n=31） were received routine drug therapy. The changes of sperm parameters between two groups were analyzed. Results After treatment for 12 weeks, the density of sperm, the action rate of sperm, liquefaction time of sperm and ratio of normal sperm in group A and group B were respectively better than before, the differences of group A were statistically significant （P 〈 0.05）, and those in group B were not significantly different （P 〉 0.05）. After treatment for 12 weeks, the sperm quality in group A were obviously superior than that in group B, the difference was statistically significant （P 〈 0.01）. The conception rate of the spouse in group A was higher than that in group B, the differ- ence was statistically significant （P 〈 0.05）. Conclusion Operation on SVC for young man with infertility may be useful in improving the sperm quality of young male patients with infertility.

关 键 词：青年男性 不育 亚临床精索静脉曲张 手术 精液质量 

分 类 号：R697[医药卫生—泌尿科学]