摘要
目的探讨显微镜结扎术联合脉络舒通丸治疗对精索静脉曲张患者术后精液质量及复发的影响。方法选取2020年6月至2022年6月中国人民解放军联勤保障部队第九二○医院收治的100例行显微镜结扎术治疗的精索静脉曲张患者作为研究对象。采用随机数字表法分为研究组和对照组,每组50例。对照组给予术后常规辅助治疗,研究组在对照组的基础上给予脉络舒通丸治疗,比较两组治疗后疗效、精液质量、复发率及并发症发生情况。结果研究组治愈率高于对照组,差异具有统计学意义(P<0.05);治疗后6个月,研究组精液量、精子密度高于对照组,液化时间短于对照组,精子畸形率低于对照组,差异具有统计学意义(P<0.05);研究组并发症发生率及复发率低于对照组,差异具有统计学意义(P<0.05)。结论显微镜结扎术联合脉络舒通丸治疗精索静脉曲张患者的疗效显著,能够明显改善精液质量,降低并发症发生率和复发率。
Objective To investigate the effect of microscopic ligation combined with Mailuo Shutong Pill on postoperative semen quality and recurrence in patients with varicocele.Methods A total of 100 patients with varicocele treated by microscopic ligation in No.920th Hospital of Joint Logistic Support Force,PLA from June 2020 to June 2022 were selected as the study objects.They were divided into study group and control group by random number table method,with 50 cases in each group.The control group was given routine postoperative adjuvant treatment,and the study group was given Mailuo Shutong Pill on the basis of the control group.The treatment effect,semen quality,recurrence rate and complications were compared after treatment between the two groups.Results The recovery rate of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).Six months after treatment,the semen volume and sperm density of the study group were higher than those of the control group,the liquefaction duration was shorter than that of the control group,and the sperm malformation rate was lower than that of the control group,with the differences statistically significant(P<0.05).The complication incidence rate and recurrence rate of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Microscopic ligation combined with Mailuo Shutong Pill is effective in the treatment of varicocele patients,which can significantly improve semen quality and reduce the incidence of complications and recurrence.
作者
杨盛宇
杨月月
段娟
王跃力
YANG Shengyu;YANG Yueyue;DUAN Juan;WANG Yueli(Department of Urology,No.920th Hospital of Joint Logistics Support Force,PLA,Kunming 650032,Yunnan,China)
出处
《中国性科学》
2024年第5期131-134,共4页
Chinese Journal of Human Sexuality
基金
中国人民解放军联勤保障部队第九二○医院院内科技计划项目(2019YGB18)。
