[腹股沟疝后男性生殖功能]。

Urologiia i nefrologiia Pub Date : 1999-03-01
A V Protasov, G M Rutenburg, A S Segal, V A Pnomarev, A I Akimov, A V Vinogradov
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引用次数: 0

摘要

分析了59例17 ~ 32岁疝切开术患者的生殖功能及治疗效果。其中28例和31例分别接受了标准和内镜干预。对照组由30名年龄相匹配的健康男性组成。经过6个月的随访发现,经腔内疝切开术后,未出现囊泡积液、囊泡积液、睾丸萎缩、睾丸动脉血流减少等并发症。射精后,血液中的性激素水平、收缩反射保持不变。常规疝切开术后出现阴囊和睾丸微循环缺损,25%的病例出现部分睾丸萎缩,睾丸循环下降2.2 ~ 2.5倍,精子图和收缩反射参数恶化,血清睾酮降低。
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[Male reproductive function after inguinal hernia].

Reproductive function and treatment results have been analysed for 59 patients aged 17 to 32 years after herniotomy. 28 and 31 of them underwent standard and endosurgical interventions, respectively. The control group consisted of 30 healthy males matched for age. As shown by 6-month follow-up, the endosurgical herniotomy was not associated with such complications as hydroscheocele, hydrocele, testicular atrophy, diminution of blood flow along the testicular arteries. Ejaculate, levels of sex hormones in the blood, cremasteric reflex remained intact. After routine herniotomy there appeared defects in scrotal and testicular microcirculation with partial testicular atrophy in 25% of cases, testicular circulation fell 2.2-2.5-fold, deterioration of spermogram and cremasteric reflex parameters, reduction of serum testosterone were observed.

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