摘要
目的探讨应用迷你(mini)切口高清腹腔镜保留睾丸动脉的精索静脉高位结扎(ivanissevich)术加用补肾活血中药对改善原发性精索静脉曲张导致的精液质量异常的效果。方法选择2017年5月至2018年12月山东中医药大学附属潍坊市中医院诊治的肾阳虚血瘀型原发性精索静脉曲张的53例患者为研究对象,将其随机分为试验组和对照组。试验组27例患者,采用手术+补肾活血中药治疗方法;对照组26例患者,采用手术+迈之灵治疗方法。比较两组患者治疗后睾酮(T)、卵泡刺激素(LH)、黄体生成素(FSH)和精液的运动参数。结果经过手术+药物治疗后,两组患者血清内分泌指标和精液运动参数均有显著改善。同时,与对照组相比,试验组患者3个月后精液密度、活力、存活率的改善更为明显,其差异均具有统计学意义(均P<0.05)。结论在治疗原发性精索静脉曲张导致的精液异常时,迷你切口高清腹腔镜下保留睾丸动脉的精索静脉高位结扎术加用补肾活血中药,对精液质量的改善有明显的效果,并且Mini小切口术后恢复较快。
Objective To explore the effect of mini incision high definition laparoscopic ivanissevich combined with kidney-reinforcing and blood circulation-activating decoction on the improvement of semen abnormalities caused by primary varicocele. Methods From May 2017 to December 2018, 53 patients with primary varicocele of kidney-yang deficiency and blood stasis were selected from Weifang Traditional Chinese Hospital Shandong University of Traditional Chinese Medicine and were randomly divided into experimental group and control group. In the experimental group, 27 patients were treated with operation combined with kidney-reinforcing and blood circulation-activating herbs;In the control group, 26 patients were treated with operation and maizhiling. The changes in T, LH, FSH and semen movement parameters after treatment were compared between the two groups. Results After operation and drug treatment, serum endocrine index and semen movement parameters were significantly improved in the two groups. Meanwhile, compared with the control group, the improvement in sperm density, vitality and survival rate in the experimental group was more significant, with statistically significant differences(all P<0.05). Conclusions In the treatment of semen abnormalities caused by primary varicocele, mini incision high definition laparoscopic ivanissevich preserving the artery combined with kidney-reinforcing and blood circulation-activating decoction is of significant effects on improving the semen quality with fast postoperative recovery.
作者
沈腾
于志勇
唐丽丽
高恩江
王永传
SHEN Teng;YU Zhiyong;TANG Lili;GAO Enjiang;WANG Yongchuan(Department of Urology Surgery,Weifang Traditional Chinese Hospital,Shandong University of Traditional Chinese Medicine,Weifang 261000,Shandong,China;Reproductive Center,Weifang Traditional Chinese Hospital,Shandong University of Traditional Chinese Medicine,Weifang 261000,Shandong,China)
出处
《中国性科学》
2020年第1期108-111,共4页
Chinese Journal of Human Sexuality
基金
2017年潍坊市中医药科研立项项目(2017-04-013)
关键词
精索静脉曲张
补肾活血方
精液质量
保留动脉
Varicocele
Kidney-reinforcing and blood circulation-activating decoction
Semen quality
Preserving the artery
作者简介
通讯作者:于志勇,E-mail:15953683986@163.com。
