[1]王 兴,邵继春,曾治军,等.显微镜下精索静脉结扎术对患者血清睾酮及性功能的影响[J].医学信息,2018,31(07):95-97.[doi:10.3969/j.issn.1006-1959.2018.07.030]
　WANG Xing,SHAO Ji-chun,ZENG Zhi-jun,et al.Effect of Spermatic Vein Ligation under Microscope on Serum Testosterone and Sexual Function in Patients[J].Journal of Medical Information,2018,31(07):95-97.[doi:10.3969/j.issn.1006-1959.2018.07.030]
点击复制

显微镜下精索静脉结扎术对患者血清睾酮及性功能的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年07期
页码:
95-97
栏目:
论著
出版日期:
2018-04-01

文章信息/Info

Title:
Effect of Spermatic Vein Ligation under Microscope on Serum Testosterone and Sexual Function in Patients
文章编号:
1006-1959（2018）07-0095-03
作者:
王 兴; 邵继春; 曾治军; 李 峰; 杨剑波; 何婷婷
核工业四一六医院泌尿外科，四川 成都 610000
Author(s):
WANG Xing; SHAO Ji-chun; ZENG Zhi-jun; LI Feng; YANG Jian-bo; HE Ting-ting
Department of Urology,416 Hospital of Nuclear Industry,Chengdu 610000,Sichuan,China
关键词:
精索静脉曲张; 显微镜下精索静脉结扎术; 睾酮; 国际勃起功能指数; 中国早泄患者性功能评价表-5
Keywords:
Key words：Varicocele; Microscopical varicocele ligation; Testosterone; International erectile function Index; Sexual function Evaluation Table -5 of Chinese premature ejaculation patients
分类号:
R699.8
DOI:
10.3969/j.issn.1006-1959.2018.07.030
文献标志码:
A
摘要:
目的 评价显微镜下精索静脉结扎术对患者血清睾酮及性功能的影响。方法 选择2013年8月~2017年3月于核工业四一六医院泌尿外科接受显微镜下精索静脉结扎术且有规律性生活的患者为研究对象，在征得患者同意后，分别于术前和术后6个月完成国际勃起功能指数（IIEF-5）量表和中国早泄患者性功能评价表（CIPE-5）的评分，同时检测患者血清性激素水平。结果 72例患者符合研究标准并得到有效随访，患者手术前后总IIEF-5评分、CIPE评分、血清睾酮水平均显著改善，各组手术前后比较差异具有统计学意义（P<0.05），且患者术后血清游离睾酮的改变与IIEF的改善呈显著正相关。结论 显微镜下精索静脉结扎术不仅可以改善患者血清睾酮水平，对患者勃起功能的改善同样显著。
Abstract:
Abstract：Objective To evaluate the effect of spermatic vein ligation under microscope on serum testosterone and sexual function in patients.Methods From August 2013~March 2017 in the Department of Urology 416 Hospital of nuclear industry to accept the microscopic varicocelectomy and regular life patients as the research object,the consent of the patient,respectively,to complete the international index of erectile function 6 months before and after surgery(IIEF-5)scale and Chinese patients with premature ejaculation sexual function assessment form(CIPE-5)score,serum sex hormone levels in patients.Results 72 patients met the study criteria and effective follow-up,patients with total IIEF-5 score,CIPE score,serum testosterone levels were significantly improved, statistically significant difference between groups before and after surgery(P<0.05),and postoperative changes of serum free testosterone and IIEF of the improvement was positively correlated.Conclusion Spermatic vein ligation under microscope can not only improve the level of serum testosterone,but also improve the erectile function of the patients.

参考文献/References:

[1]邓春华,商学军.精索静脉曲张诊断与治疗中国专家共识[J],中华男科学杂志,2015,21(11):1035-1042. [2]牛吉瑞,严肃,李宏军,等.男性不育伴精索静脉曲张患者的心理状况调查[J].中华男科学杂志,2013,19(2):132-136. [3]Tanrikut C,Goldstein M,Rosoff J S,et al.Varicocele as a risk factor for androgen deficiency and effect of repair[J].Bju International,2011,108(9):1480–1484. [4]Abdel-Meguid T A,Farsi H M,Al-Sayyad A,et al.Effects of varicocele on serum testosterone and changes of testosterone after varicocelectomy:a prospective controlled study[J].Urology,2014,84(5):1081-1087. [5]梁燊,张海波,赵善超.抑制素B与精索静脉曲张关系的研究进展[J].中华男科学杂志,2018，24(2):168-171. [6]朱少明,程帆.精索静脉曲张致男性不育的研究进展[J].疑难病杂志,2017,16(6):634-639. [7]Sheehan M M,Ramasamy R,Lamb D J.Molecular mechanisms involved in varicocele-associated infertility[J].Journal of Assisted Reproduction&Genetics,2014,31(5):521-526. [8]Fuping Li,Huanxun Yue,Kohei Yamaguchi,et al.Effect of surgical repair on testosterone production in infertile men with varicocele:A meta-analysis[J],International Journal of Urology, 2012(19):149-154. [9]丁小明.精索静脉曲张对睾丸生精功能影响研究进展[J].四川解剖学杂志,2015,23(3):31-35. [10]Chen S S,Huang W J.Differences in biochemical markers and body mass index between patients with and without varicocele[J].Journal of the Chinese Medical Association,2010,73(4):194. [11]Ingrid S,Stephan M,Romy J,et al.The impact of varicocelectomy on sperm parameters:a meta-analysis[J].Journal of Urology,2012,187(5):1540. [12]Suk C W,Woong K S.Current Issues in Varicocele Management: a Review[J].World Journal of Mens Health,2013,31(1):12. [13]Srini V S,Veerachari S B.Does Varicocelectomy Improve Gonadal Function in Men with Hypogonadism and Infertility Analysis of a Prospective Study[J].International Journal of Endocrinology,2011(1):916380. [14]林子斌,邓军洪,黄亮亮,等.血清游离睾酮在勃起功能障碍患者中检测价值的初步探讨[J].中华男科学杂志,2017,23(9):808-812. [15]李和程,张连栋,高明,等.精索静脉结扎术对阴道内射精潜伏期的影响[J].中华男科学杂志,2014,20(6):531-535.

相似文献/References:

[1]刘东波,王 中,殷德科,等.仙方活命饮治疗精索静脉曲张的临床疗效研究[J].医学信息,2018,31(05):142.[doi:10.3969/j.issn.1006-1959.2018.05.051]
　LIU Dong-bo,WANG Zhong,YIN De-ke,et al.Clinical Efficacy of Xianfang Huoxing Decoction in the Treatment of Varicocele[J].Journal of Medical Information,2018,31(07):142.[doi:10.3969/j.issn.1006-1959.2018.05.051]
[2]高 攀,王志勇,赵新博,等.精索静脉曲张的治疗现状[J].医学信息,2018,31(20):35.[doi:10.3969/j.issn.1006-1959.2018.20.011]
　GAO Pan,WANG Zhi-yong,ZHAO Xin-bo,et al.Current Status of Treatment of Varicocele[J].Journal of Medical Information,2018,31(07):35.[doi:10.3969/j.issn.1006-1959.2018.20.011]
[3]高 攀,王志勇,赵新博,等.腹腔镜集束性精索内血管高位结扎术治疗双侧精索静脉曲张的疗效分析[J].医学信息,2019,32(01):125.[doi:10.3969/j.issn.1006-1959.2019.01.038]
　GAO Pan,WANG Zhi-yong,ZHAO Xin-bo,et al.Therapeutic Effect of High Ligation of Laparoscopic Clustered Spermatic Cord in the Treatment of Bilateral Varicocele[J].Journal of Medical Information,2019,32(07):125.[doi:10.3969/j.issn.1006-1959.2019.01.038]
[4]岳巍巍,陈烈钳,邓廷志,等.显微镜下精索静脉结扎术治疗青春期精索静脉曲张的效果[J].医学信息,2020,33(20):77.[doi:10.3969/j.issn.1006-1959.2020.20.021]
　YUE Wei-wei,CHEN Lie-qian,DENG Ting-zhi,et al.Effect of Ligation of Spermatic Vein Under Microscope in the Treatment of Varicocele in Adolescence[J].Journal of Medical Information,2020,33(07):77.[doi:10.3969/j.issn.1006-1959.2020.20.021]
[5]薛长辉,王永顺.腹腔镜下精索静脉高位结扎治疗精索静脉曲张患者的疗效[J].医学信息,2020,33(20):96.[doi:10.3969/j.issn.1006-1959.2020.20.028]
　XUE Chang-hui,WANG Yong-shun.The Effect of Laparoscopic High Ligation of the Spermatic Vein in the Treatment of Varicocele[J].Journal of Medical Information,2020,33(07):96.[doi:10.3969/j.issn.1006-1959.2020.20.028]
[6]赵克刚,周宏伟,张艳华,等.彩色多普勒超声诊断男性不育精索静脉曲张的价值[J].医学信息,2021,34(01):170.[doi:10.3969/j.issn.1006-1959.2021.01.047]
　ZHAO Ke-gang,ZHOU Hong-wei,ZHANG Yan-hua,et al.The Value of Color Doppler Ultrasound in Diagnosing Male Infertile Varicocele[J].Journal of Medical Information,2021,34(07):170.[doi:10.3969/j.issn.1006-1959.2021.01.047]

更新日期/Last Update: 2018-04-01