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目的 为评价精索静脉转流术与结扎术二种手术方法对治疗精索静脉曲张引起男性不育的疗效。方法 于术后一年中分别随访 82例病人 ,接受转流者 47例 ,结扎者 35例。结果 (1)术后病人症状、精子质量均得到显著改善 ,但是 ,两组间无明显差异 (P >0 .0 5 )。 (2 ) 15例有症状者术后缓解 ,47例转流受术者无一复发 ,35例结扎受术者 2例复发 ,占 5 .7%。两者精子质量改善者共 47例 ,占 5 8.5 3% ,妊娠及分娩 2 5例 ,占 30 .5 %。 (3)术后 3月 ,精子活力提高明显好于精子质量的其它参数 ,而在术后半月中 ,精子活力的提高转流者 2 7例 ,结扎者仅 7例。结论 精索内静脉转流术仍是部分精索静脉曲张不育症者治疗的较好手段
Objective To evaluate the effects of varicocele and ligation on the treatment of varicocele caused by male infertility. Methods One year after operation, 82 patients were followed up, 47 patients underwent transcranial flow, and 35 patients underwent ligation. Results (1) The postoperative patient symptoms and sperm quality were significantly improved, however, there was no significant difference between the two groups (P> 0.05). (2) Fifteen symptomatic patients were relieved postoperatively, 47 of them were free from recurrence, and 35 of them were relapsed by recurrence in 2 patients (5.7%). There were 47 cases of improvement of sperm quality, accounting for 8.53%, 25 cases of pregnancy and childbirth, accounting for 30.5%. (3) In 3 months after operation, sperm motility was significantly improved than other parameters of sperm quality. In the first half of postoperative month, 27 cases of sperm motility improved and 7 cases of ligation. Conclusion Intravenous sphincterotranspiration is still a good method for the treatment of infertility in part of varicocele