弱精症不育患者睾丸相关指标与精索静脉曲张超声检查关系的探讨

发布时间：2018-02-26 19:42

本文关键词： 弱精症精索静脉曲张睾丸体积精液质量超声　出处：《安徽医科大学学报》2015年03期 　论文类型：期刊论文

【摘要】：对129例弱精症患者[伴精索静脉曲张(VC)113例]与30例正常对照者进行彩超检查,主要检查睾丸、附睾、精索静脉最大内径及精索静脉返流情况,将113例精索静脉曲张患者设为曲张组,并进行超声分级,分为亚临床型精索静脉曲张(SVC)、临床型精索静脉曲张(VC1、VC2、VC3)。比较组间睾丸体积、精液质量变化的差异性,以及曲张组内两两组间睾丸体积及精液质量变化的差异性。组间差异有统计学意义,曲张组左侧睾丸平均体积小于正常组左侧睾丸平均体积(P0.01);曲张组内左侧睾丸平均体积均明显小于同级右侧睾丸平均体积(P0.05),VC2、VC3两组右侧睾丸体积均明显小于正常组右侧睾丸体积(P0.05),VC3组的右侧睾丸体积小于SVC组(P0.05)。曲张组的精液质量(精子活力、精子活率及精子密度)均明显低于正常对照组(P0.01);VC组内两两比较差异均有统计学意义(P0.05)。VC可引起睾丸体积减小,精液质量下降,随曲张程度增加,睾丸体积变小越明显、精液质量的变化也呈下降趋势。
[Abstract]:129 cases of azoospermia [113 cases of varicocele with varicocele] and 30 cases of normal control were examined by color Doppler ultrasound, the largest diameter of testis, epididymis, spermatic vein and the reflux of spermatic vein were examined. 113 patients with varicocele were divided into subclinical varicocele group and clinical varicocele group. And the difference of testicular volume and semen quality between two groups in the varicose group. The mean volume of the left testis in the varicose group was smaller than that in the normal group (P 0.01), and the mean volume of the left testis in the varicose group was significantly lower than that in the same grade of the right testis (P 0.05) and the right testicular volume in the two groups was significantly lower than that in the normal group. The right testicular volume of VC3 group was smaller than that of SVC group (P 0.05). The semen quality (sperm motility) of varicose group was lower than that of SVC group. The sperm motility and sperm density were significantly lower than those in the normal control group (P 0.01). There were significant differences between the two groups. P0.05U. VC could decrease the testis volume and semen quality. With the increase of the degree of varicosity, the smaller the testis volume was, the more obvious the testicular volume was. Semen quality changes also showed a downward trend.
【作者单位】：安徽医科大学附属省立医院超声科;
【基金】：安徽省高等学校省级自然科学研究项目(编号:kj2013z151)
【分类号】：R698.2

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