显微转流术治疗精索静脉曲张合并弱精症3例  

Treatment of varicocele combined with asthenospermia by microsurgical shunt: 3 cases report

作　　者：王双[1] 祖雄兵[2] 刘龙飞[2] 唐举玉[3] 胡希恒[2] 

机构地区：[1]中南大学湘雅医院检验科,长沙410008 [2]中南大学湘雅医院泌尿外科,长沙410008 [3]中南大学湘雅医院手显微外科,长沙410008

出　　处：《中南大学学报（医学版）》2017年第10期1228-1231,共4页Journal of Central South University ：Medical Science

摘　　要：为总结显微转流术治疗精索静脉曲张合并弱精症的临床经验,作者回顾性分析3例行显微镜下精索静脉高位结扎+腹壁浅静脉转流术患者的临床资料及治疗方法。患者术后均无明显并发症,原有症状及体征消失,3个月复查阴囊B超及精液常规检查,各项指标逐渐好转。显微镜下精索静脉高位结扎联合血管转流术既可阻断静脉血逆流,又能使睾丸建立新的回流通道,同时保护了睾丸动脉和淋巴管,是值得推广的治疗精索静脉曲张合并弱精症的方法。To investigate the clinic value of microsurgical shunt for the treatment of varicocele combined with asthenspermia, the clinical data and therapeutic method for 3 patients, who conducted the microscope spermatic vein high ligation combined with superficial epigastric vein flow, were retrospectively analyzed. No postoperative complications were found, and the original symptoms and signs were disappeared. All patients were conducted scrotal ultrasound and semen routine after 3 months, and all indexes, including maximum internal diameter of the cord vein （erect position）, sperm densit）~ sperm survival rate, sperm deformity rate and sperm forward movement rate, were gradually improved. Consequently, high ligation of spermatic vein combined with vascular bypass surgery under the microscope can block the countercurrent venous blood and establish a new return channel to the testis. Meanwhile, it can also protect the testicular artery and lymph-vessel. It is worth to be spread for the treatment ofvaricocele combined with asthenospermia.

关 键 词：显微镜 精索静脉曲张 弱精症 腹壁浅静脉 睾丸动脉 淋巴管 

分 类 号：R699.8[医药卫生—泌尿科学]