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目的调查精索静脉曲张患者婚后的生育情况,分析精索静脉曲张与男性不育症之间的关系。方法 84例精索静脉曲张患者,比较其手术前后的精子质量,了解其婚后的生育情况。结果手术前,患者精子的密度、有效精子数和A+B级活动力的精子所占比例均低于正常值,手术后4、8个月患者精子的密度、有效精子数和A+B级活动力的精子所占比例均明显上升,差异具有统计学意义(P<0.05)。患双侧精索静脉曲张的患者婚后出现不育现象的几率大于患左侧精索静脉曲张的患者,差异具有统计学意义(P<0.05)。结论精索静脉曲张会增加男性患不育症的几率,进行精索内静脉结扎手术能提高患者的精子质量,从而减少男性不育的发生,值得临床推广应用。
Objective To investigate the fertility status of patients with varicocele after marriage and analyze the relationship between varicocele and male infertility. Methods Eighty - four patients with varicocele were enrolled in this study. The quality of spermatozoa before and after operation was compared with that before operation to understand their fertility after marriage. Results Before operation, the sperm density, effective sperm count and sperm motility of A + B motility were all lower than normal values. The sperm density, effective sperm count and A + B grade at 4 and 8 months after operation The proportion of motile sperm were significantly increased, the difference was statistically significant (P <0.05). Patients with bilateral varicocele had a higher incidence of infertility after marriage than patients with varicocele on the left, the difference was statistically significant (P <0.05). Conclusions Varicocele may increase the risk of male infertility. Spermatic vein ligation can improve sperm quality and reduce the incidence of male infertility, which is worthy of clinical application.