中西医结合治疗慢性附睾炎不育症及其彩超图像的对比分析

Integration treatment of traditional Chinese and Western medicine in the treatment of sterility with chronic epididymitis and comparative analysis of the color Dopplar ultrasound images of epididymis

目的观察中西医结合治疗对慢性附睾炎不育症患者精子质量的影响及治疗前后附睾影像学的变化。方法将77例慢性附睾炎不育症患者分为实验组(40例)和对照组(37例)。实验组给予口服左卡尼汀口服液和大黄虫庶虫胶囊,对照组口服司帕沙星。治疗90 d后,观察两组精子质量的变化及彩超图像的改变情况。结果治疗后,两组精液质量、附睾大小、附睾彩色多普勒超声血流分级较治疗前有改善,差异均有统计学意义(均P<0.05)。实验组精子密度治疗前后分别为(15.34±2.33)×106/mL、(36.52±1.36)×106/mL;对照组精子密度治疗前后分别为(16.11±1.31)×106/mL、(21.16±2.11)×106/mL;实验组精子活动率治疗前后分别为(37.33±2.85)%、(71.25±5.25)%,对照组精子活动率治疗前后分别为(38.21±2.98)%、(57.24±3.22)%。治疗后实验组各指标较对照组改善更明显,两组比较差异有统计学意义(P<0.05)。结论中西医结合治疗对慢性附睾炎不育症有明显的疗效。

Objective To investigate the effect of integration treatment of traditional Chinese and Western medicine in the treatment of sterility with chronic epididymitis and comparative analysis of the color Dopplar ultrasound images of epididymis.Methods A total of 77 cases of infertility with chronic epididymitis were randomly divided into experiment group（40 cases） and control group（37 cases）.Experiment group was given the Levocarnitine Oral Solution and the Dahuang Zhechong Capsule,control group was given Sparfloxacin.The changes of the sperm quality and the color Dopplar ultrasound images of epididymis in two groups were investigated.Results The sperm quality,size of testicular and the changes of color Dopplar ultrasound images of epididymis of two groups showed that there were significant differences before and after treatment（all P 0.05）.Sperm concentration of experiment group before and after treatment were（15.34±2.33）×106/mL,（36.52±1.36）×106/mL respectively;sperm concentration of control group before and after treatment were（16.11±1.31）×106/mL,（21.16±2.11）×106/mL respectively.Sperm motility of experiment group before and after treatment were（37.33±2.85）%,（71.25±5.25）% respectively;sperm motility of control group before and after treatment were（38.21±2.98）%,（57.24±3.22）%respectively.After treatment,every indexes of experiment group were improved obviously more than that of control group,there were significant differences between two groups（P 0.05）.Conclusion Integration treatment of traditional Chinese and Western medicine in the treatment of sterility with chronic epididymitis has an obvious therapeutic effect.