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特发性少精子症与精索静脉曲张少精子症生殖内分泌及睾丸病理研究 被引量:2

A COMPARATIVE STUDY OF ENDOCRINOLOGY AND TESTICULAR PATHOLOGY BETWEEN IDIOPATHIC OLOGOZOOSPERMIA AND VARICOCELE CAUSED OLIGOZOOSPERMIA
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摘要 对25例特发性少精子症、20例精索静脉曲张少精子症及57例对照进行了血生殖激素测定、睾丸体积测量及活检标本病理分析。发现特发性少精子症者的FSH水平较精索静脉曲张者的升高更为显著,而LH及T水平无显著差异。二类少精子症者的睾丸体积、曲细精管直径及管壁厚度无明显差异,但精索静脉曲张者曲细精管内细胞脱落严重并伴有间质水肿及小血管病变,而特发性少精子症者曲细精管内生精低下明显。精索静脉曲张者的Silber曲线理论精子密度明显少于实际精子密度,提示有睾丸内梗阻因素存在。 25 cases of idiopathic oligozoospermia and 20 cases of varecocele caused oligozoospermia were compared in the aspects of sex endocrinology, testicular pathology. Serum FSH level in thegroup of idiopathic oligozoospermia was markedlyhigher than that in the group of varicocele caused ollgozoospermia,while LH and T levels showed respectively no significant difference between the two groups.No significant differences were found of testicular volume, the diameter and membrane of seminiferous tubules between the two groups.But varicocele caused oligozoospermia had obvious germ cell exfoliation accompanied with interstitial edema and vessel changes while the idiopathic oligozoospermiahad distinct hypospermatogenesis. The calculatedsperm density was significantly higher than the actual one in the group ofvaricocele caused oligozoospermia,which suggested that there was luminalobstruction in testicels.
出处 《西安医科大学学报》 CSCD 1997年第1期81-84,共4页 Journal of Xi'an Medical University(Chinese)
关键词 精子减少 少精症 精索静脉曲张 睾丸 病理学 oligozoospermia varicocele testicle sex hormones pathology
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参考文献3

  • 1章咏棠,曾进,赵建军,刘继红.精索静脉曲张不育症的内分泌变化[J].中国男科学杂志,1989,10(4):225-227. 被引量:13
  • 2吴明章,王一飞,汪国光,冯京生,吴竞梅,王益鑫,江鱼.精索静脉曲张不育症机理研究[J]生殖与避孕,1988(01).
  • 3黄平治,李永海.男性不育[M]科学技术文献出版社,1990.

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