青春期精索静脉曲张手术时机的选择

发布时间：2018-04-27 23:42

  本文选题：青春期 + 精索静脉曲张　； 参考：《复旦学报(医学版)》2015年05期

【摘要】：青春期精索静脉曲张(adolescent varicocele,AVC)随着年龄的增长,发病率逐渐增高。青春期后期的发生率为9%~26%,平均约为15%,与成年男性的发生率相近。AVC最大的隐患是可能影响睾丸的生精功能,继发不育,且多数患者因无明显临床症状,容易造成诊断延迟。手术治疗可以逆转睾丸损伤,正确选择手术时机尤为重要,依据包括:(1)精液分析异常;(2)双侧睾丸体积差异≥20%或青春期后期≥15%,或患侧睾丸体积小于正常值-2个标准差(standard deviation,SD),伴有或不伴有曲张精索静脉血液返流流速峰值(peak retrograde flow,PRF)≥38 cm/s;(3)有明显的临床症状;(4)双侧精索静脉曲张。
[Abstract]:The incidence of adolescent varicocele AVC increased with age. The incidence rate of late puberty is 9 and 26, the average is about 15. The biggest hidden trouble of AVC is that it may affect testicular spermatogenic function and secondary infertility, and most of the patients have no obvious clinical symptoms, so the diagnosis is easy to be delayed. Surgical treatment can reverse testicular injury, so it is important to choose the right time of operation. 2) bilateral testicular volume difference 鈮，

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