DONG Xinqiang, LI Peng, MENG Qingze, SUN Wengong. Efficacy and safety of microsurgery for young male patients with varicocele[J]. Journal of Clinical Medicine in Practice, 2019, 23(10): 81-83. DOI: 10.7619/jcmp.201910023
Citation: DONG Xinqiang, LI Peng, MENG Qingze, SUN Wengong. Efficacy and safety of microsurgery for young male patients with varicocele[J]. Journal of Clinical Medicine in Practice, 2019, 23(10): 81-83. DOI: 10.7619/jcmp.201910023

Efficacy and safety of microsurgery for young male patients with varicocele

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  • Received Date: March 10, 2019
  • Accepted Date: April 20, 2019
  • Available Online: February 22, 2021
  • Published Date: May 27, 2019
  •   Objective  To investigate the efficacy and safety of microsurgery for young male patients with varicocele (VC).
      Methods  A total of 46 young male patients with VC were treated with microsurgical varicocelectomy.
      Results  All of the 46 patients completed operation successfully. All the patients were followed up for 3 to 12 months, and 7 patients (13.00%) had complications such as scrotal edema and testicular pain. No recurrence of VC occurred during follow-up. Follow-up results showed that 34 patients (73.90%) had no symptoms after operation, 9 patients (19.60%) had less symptoms and 3 patients (6.50%) had no significant improvement. At 1, 6, 12 months after operation, sperm density and total sperm count significantly improved in all the patients (P < 0.05), sperm DNA fragmentation rate significantly decreased (P < 0.05), and sperm viability, sperm motility of grade a and grade a+b significantly increased (P < 0.05).
      Conclusion  Microscopic varicocelectomy through inguinal incision can effectively improve the clinical symptoms and sperm quality of young male patients with VC.
  • [1]
    宁金卓, 程帆, 余伟民, 等. 精索静脉曲张与男性不育的研究进展[J]. 中国医药导报, 2017, 14(13): 38-41. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201713010.htm
    [2]
    刘星辰, 胥芸芸, 王芳, 等. 青少年原发性精索静脉曲张诊治进展[J]. 中国男科学杂志, 2016, 30(6): 69-72. doi: 10.3969/j.issn.1008-0848.2016.06.017
    [3]
    王兴红. 精索静脉曲张与不育关系的探讨[J]. 浙江创伤外科, 2016, 21(6): 1040-1041. doi: 10.3969/j.issn.1009-7147.2016.06.011
    [4]
    聂欢, 高强利, 陈磊, 等. 三种精索静脉曲张手术疗效的对比观察[J]. 中国性科学, 2017, 26(3): 24-27. doi: 10.3969/j.issn.1672-1993.2017.03.008
    [5]
    李艾霖. 腹腔镜手术和腹膜后开放手术治疗精索静脉曲张临床效果及优缺点分析[J]. 中国社区医师, 2017, 33(21): 16-17. doi: 10.3969/j.issn.1007-614x.2017.21.8
    [6]
    刘忠剑, 孙贵洋, 鞠长亮, 等. 精索静脉曲张应用腹腔镜和开放手术治疗的效果研究[J]. 世界最新医学信息文摘, 2016, 16(2): 44-44, 97. doi: 10.3969/j.issn.1671-3141.2016.02.026
    [7]
    李美娜, 王群, 黄慧琳, 等. 三种不同路径显微外科治疗男性不育伴精索静脉曲张的疗效与安全性的Meta分析[J]. 中国临床研究, 2017, 30(5): 586-591. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK201705003.htm
    [8]
    李茂林, 章静, 王治国, 等. 显微外科治疗青年男性精索静脉曲张的疗效分析[J]. 微创泌尿外科杂志, 2017, 6(4): 248-251. https://www.cnki.com.cn/Article/CJFDTOTAL-WCMN201704014.htm
    [9]
    张炎, 黄文涛, 杨补, 等. 传统经腹股沟、显微技术和腹腔镜精索静脉结扎术后并发症发生率的对比研究[J]. 中华腔镜泌尿外科杂志: 电子版, 2008, 2(4): 47-49. doi: 10.3969/j.issn.1674-3253.2008.04.016
    [10]
    骆汉军. 精索静脉曲张与精液质量和男性不育症的相关性分析[J]. 临床医学研究与实践, 2016, 1(10): 33-33. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS201610026.htm
    [11]
    苏宏伟, 李婷, 樊勇, 等. 不同手术方式对精索静脉曲张患者精液质量和配偶受孕率影响[J]. 河北医学, 2017, 23(3): 380-384. doi: 10.3969/j.issn.1006-6233.2017.03.010
    [12]
    廖森成, 谢纯平, 王君龙, 等. 精索静脉曲张患者睾丸微循环变化与血清抑制素B及精液质量的关系[J]. 实用医学杂志, 2016, 32(11): 1844-1846. doi: 10.3969/j.issn.1006-5725.2016.11.036
    [13]
    谭志国, 张丹, 孙健, 等. 精索静脉曲张程度对精子DNA完整性DFI、HDS的影响[J]. 新疆医学, 2017, 47(1): 37-40. https://www.cnki.com.cn/Article/CJFDTOTAL-XJYI201701011.htm
    [14]
    罗程鹏, 袁海川, 顾朝辉, 等. 精索静脉曲张显微外科手术与腹膜后高位结扎术对精子质量、性激素和抗精子抗体影响的对比研究[J]. 中国男科学杂志, 2016, 30(8): 41-45. https://www.cnki.com.cn/Article/CJFDTOTAL-NXXX201608009.htm
    [15]
    王嘉图, 王秀娟, 王铭贤, 等. 精索静脉曲张程度与激素水平的相关性研究[J]. 中国医学创新, 2014, 11(11): 37-39. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYCX201411018.htm
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