沿海驻防部队官兵精索静脉曲张程度对精液质量的影响  

Effect of varicocele on semen quality of officers and soldiers stationed along the coast

作　　者：陈松楠 贲学芳 王润田 刘武岩 马龙 夏建军 Chen Songnan;Ben Xuefang;Wang Runtian;Liu Wuyan;Ma long;Xia Jianjun(Beidaihe Rehabilitation and Recuperation Center of PLA Joint Logistics Support Force,Qinhuangdao 066100,China)

机构地区：[1]解放军联勤保障部队北戴河康复疗养中心,秦皇岛066100

出　　处：《中华航海医学与高气压医学杂志》2022年第2期230-232,共3页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：目的探讨沿海驻防部队官兵精索静脉曲张程度对精液质量的影响。方法选取2016年1月至2020年6月联勤保障部队北戴河康复疗养中心确诊的驻地官兵左侧精索静脉曲张患者146例及32例健康男性官兵, 分别行精索静脉查体及超声检查, 依据精索静脉内径进行超声分度, 并对其精液质量进行常规分析。结果各组间精液量及精子畸形率比较差异无统计学意义(P>0.05), 但随着精索静脉曲张程度进一步加重, 其临床型Ⅱ、Ⅲ度与正常型、亚临床型和临床型Ⅰ度相比较, 精子存活率、精子密度、A+B级精子率比较明显下降(P<0.05)。结论沿海驻防部队官兵精索静脉曲张发生率明显高于普通人群, 精索静脉曲张程度与精液质量密切相关, 临床型Ⅰ度及以下精索静脉曲张对精液质量影响较小。Objective To investigate the grade of varicocele and its impact on semen quality of officers and soldiers stationed in coastal areas.Methods The research subjects were 146 patients with left-sided varicocele and 32 healthy men selected from the male officers and soldiers who had visited the Beidaihe Sanatorium of PLA Joint Logistics Support Force.They were given physical and ultrasonic examination of spermatic vein and were divided into different groups by ultrasonic grading according to the inner diameter of their spermatic vein.Their semen quality was routinely analyzed.Results There was no significant difference in semen volume or sperm deformity rate among the groups(P>0.05).As varicocele aggravated,the sperm survival rate,sperm density,and the proportion of Grade A+B sperm all decreased significantly in the groups of clinical type II and III compared with those in the groups of normal type,subclinical type,and clinical type I(P<0.05).Conclusion The incidence of varicocele in officers and soldiers of coastal garrisons is significantly higher than that in the general population.The varicocele grade is closely related to the semen quality.Varicocele of clinical type I and below has less impact on the semen quality.

关 键 词：精索静脉曲张 精液质量 精子密度 精子存活率 

分 类 号：R828.1[医药卫生—临床医学]