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初步报告15例精索静脉旁路术手术各期精索静脉血与外周静脉血AGⅠ、AGⅡ及T测定结果。旁路术前精索静脉AGⅠ和AGⅡ平均含量均高干外周静脉,旁路术后精索静脉AGⅠ和AGⅡ平均含量较吻合前明显降低,术后外周静脉AGⅠ和AGⅡ平均含量较术前提高,经统计学分析均有显著差异(P<0.05)。提示该手术可改善局部循环和调整AGⅠ和AGⅡ失衡。手术前后睾丸酮测定平均含量略有改变,统计学处理无显著差异(P>0.05),考虑该激素代谢在本病未受影响。认为旁路术可作为治疗精索静脉曲张症的首选方法,并主张对曾行精索静脉高位结扎术后复发者应积极进行再次手术,建立旁路循环。
Preliminary reports of 15 cases of spermatic vein bypass surgery in all stages of varicocele and peripheral venous blood AG Ⅰ, AG Ⅱ and T determination results. The average content of AGⅠ and AGⅡ in the varicocele before bypass was higher than that in the peripheral arteries. The average contents of AGⅠ and AGⅡ in the varicocele after bypass were significantly lower than those before anastomosis. The average contents of AGⅠ and AGⅡ in the peripheral vein increased after operation, Statistical analysis showed significant differences (P <0.05). Suggest that the operation can improve the local circulation and adjust AG I and AG II imbalance. The average content of testosterone before and after surgery changed slightly, no significant statistical difference (P> 0.05), consider the hormone metabolism is not affected in this disease. That bypass surgery can be used as the treatment of varicocele, the preferred method of advocating the line of high varicocele has been carried out after recurrence should be actively reoperation, the establishment of bypass circulation.