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精索静脉曲张 腹腔镜手术好Varicocele laparoscopic surgery, 2008-10-9

  • 来源:cfl
  • 作者:cfl
  • 更新日期:2019-07-26 22:39
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精索静脉曲张,左侧多见,42%的少精弱精是它引起,腹腔镜手术治疗结扎位置高,不复发,微创,不出血,而且没有副损失,是治疗精索静脉曲张最好的方法,费用在8000左右,比开腹稍贵。The varicocele, which is common on the left side, is caused by 42 % of

精索静脉曲张,左侧多见,42%的少精弱精是它引起,腹腔镜手术治疗结扎位置高,不复发,微创,不出血,而且没有副损失,是治疗精索静脉曲张最好的方法,费用在8000左右,比开腹稍贵。The varicocele, which is common on the left side, is caused by 42 % of the less spermatocele. Laparoscopic surgery for ligation is high, does not relapse, minimally invasive, does not bleed, and has no collateral damage. It is the best way to treat varicose spermatic veins. The cost is around 8,000. It's a little more expensive than an open stomach.

为什么会发生精索静脉曲张呢?Why can the varicocele occur?

原因是静脉瓣功能不好,静脉血倒流所致,高位结扎后阻断其静脉血倒流,静脉闭锁,新的回路建立,即可治愈。

The reason is that the venous valve is not functioning well, and the venous blood is reversed. After the high ligation, the venous blood flow is blocked, the vein is locked, and a new circuit is established to cure it.

为什么精索静脉曲张会发生少精弱精呢?Why is varicocele can happen less spermatozoon?

众所周知,睾丸的温度远远低于体温,这是生精的必备条件,但是精索静脉曲张者,睾丸血运慢,血量增长,温度上升,使生精能力和精子活力均下降,表现为少精和弱精。It is well known that the temperature of the testis is far lower than the temperature, which is a necessary condition for spermatogenesis, but in the varicose veins, the blood flow of the testis is slow, the blood volume increases, the temperature rises, and the spermatogenic ability and sperm vitality are reduced. Both are shown as less spermatogenic and weak spermatozoa.

这种少弱精的治疗,首先要给睾丸降温,降温的前提是减少血运,减少血运的前提是高位结扎曲张的精索静脉,结扎精索静脉最好的手术是腹腔镜。This kind of treatment of weak spermatozoa must first cool the testicles. The premise of cooling is to reduce blood transport and reduce blood transport. The premise of reducing blood transport is the spermatic vein with high ligation, and the best operation for ligation of spermatic veins is laparoscopy.

诊断:少精弱精或无精症,靠手摸和B超即可确诊。Diagnosis: less spermatorrhea or spermatorrhea, by hand touch and B can be diagnosed.

相关问题:Related issues:

医生您好Hello, doctor.

前两天我老公查出精子成活率是5.8%,精子密度是数量够,A级的活率是0,几乎都是C,D级的,液化时间是40分钟,左侧轻微静脉精索曲张,查体发育正常,附睾和尿道口红肿,现在我们特别的苦恼,经查有慢性的前列腺炎症,有2家医院(私人医院)说是由于慢性的前列腺炎污染精浆,从而杀死精子,需要治疗前列腺炎,另两家医院(正规医院)说虽有前列腺炎的症状,但不至于把活率影响的如此低,具体原因还让继续查,检查了性五项没有问题,还让检查染色体,一一排除,我们现在非常的迷茫,不知道该怎么办,整天以泪洗面,什么才是正真的病因呢,我们需要什么检查呢??

Two days ago, my husband found that the survival rate of sperm was 5.8 %, the sperm density was sufficient, the survival rate of Class A was 0, almost all were C, D, the liquefaction time was 40 minutes, the left side of the slight venous spermatorrhea was curved, and the body development was normal., The epididymis and urethral mouth are red and swollen. Now we are particularly distressed. After chronic prostate inflammation has been detected, two hospitals(private hospitals) said that chronic prostatitis contaminated the pulp and thus killed sperm and needed to treat prostatitis. The other two hospitals(regular hospitals) said that although there are symptoms of prostatitis, they will not affect the survival rate so low. The specific reasons will continue to be checked. There is no problem with the examination of the five sex, but also allow the examination of chromosomes and the elimination of one by one. We are very confused now, do not know how to do, all day, what is the true cause, what do we need to check? What?

cfl 回答 13:58:18Cfl answer 13:58:18

轻微静脉精索曲张可能是元凶,应该早用腹腔镜高位结扎,至于前列腺炎我看是无稽之谈,可以不予理会,另外即使是术后精子不能改善也可以通过集精人工受精来实现妊娠。集精人工授精就是多次冷冻精液,然复苏筛选足够数量的活力精子做人工授精,成功率在80%以上。

Mild venous striatum may be the culprit. It should be ligated with laparoscopy. As for prostatitis, I think it is nonsense and I can ignore it. In addition, even if spermatozoa can not be improved after surgery, artificial insemination can be used to achieve pregnancy. Insemination artificial insemination is multiple frozen semen, but resuscitation screening a sufficient number of active sperm for artificial insemination, the success rate of more than 80 %.

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