目的:探讨自拟中药汤剂以及腹腔镜下精索静脉高位结扎术联合治疗原发性精索静脉曲张并发不育症的效果.方法:选取我院泌尿外科于2014年2月至2016年7月期间收治的精索静脉曲张并发不育症患者60例,按照随机、平等的分配原则分成三组,A组采用中药汤剂以及精索静脉高位结扎术联合治疗,B组仅行精索静脉高位结扎术,C组单纯服用中药汤剂,分析与比较三组的改善精液质量总有效率和精液参数变化.结果:(1)经过3个月的治疗后,A组患者精液质量改善的总有效率为95.2％,B组的为68.0％,C组的为71.4％.(2)在a级和(a+b)级精子、精子存活率、精子密度比例方面,A组治疗后第3个月提高得十分明显(P＜0.01);在检测a级精子、精子存活率、精子密度比例方面的结果,C组治疗后第3个月比治疗前良好(P＜0.05);B组无明显改变.结论:腹腔镜下精索静脉高位结扎术联合自拟中药汤剂治疗原发性精索静脉曲张并发不育症患者,能提高精子活力以及存活率,对改善患者的精液质量有显著良好的效果,且预后恢复较快,值得临床推广使用.%Objectives:To explore the effect of laparoscopic high ligation of spermatic vein joint with traditional Chinese medicine in treatment of idiopathic varicocele concurrent infertility.Methods:60 patients with idiopathic varicocele concurrent infertility in our hospital from February 2014 to July 2016 were selected.In accordance with the principle of random,they were divided into three groups.Group A received traditional Chinese medicine medicinal broth and spermatic vein high ligation,group B only received spermatic vein high ligation,and group C only received Chinese medicinal broth.The quality of semen,total effective rate and semen parameters of three groups were analyzed.Results:(1) After 3 months of treatment,the total effective rate of semen quality in group A was 95.2％,68.0％ in group B,and 71.4％ in group C.(2) In the aspect of class a and class (a + b) sperm,sperm survival rate and sperm density ratio at 3 months after treatment,group A increased significantly (P ＜ 0.01);In detecting A level of sperm,sperm survival rate and sperm density ratio at 3 months after treatment,group C improved significantly (P ＜ 0.05) while Group B had no obvious change.Conclusion:Laparoscopic high ligation of spermatic vein joint with traditional Chinese medicine in treatment of idiopathic varicocele concurrent infertility can improve sperm motility,survival rate and improve the patient's quality of sperm with significant effect,good prognosis and fast recovery,which is worth clinical promotion.
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