轻、中度精索静脉曲张对输精管结扎术后附睾的影响

Effect of mild or moderate varicocele on epididymis after vasoligation

目的:探讨轻、中度精索静脉曲张(VC)者在输精管结扎术后近期对附睾的影响。方法:选择自愿要求行输精管结扎术者60例,其中31例有轻、中度VC者纳入观察组,29例无VC者纳入对照组,按照常规行输精管结扎术。用彩色多普勒超声诊断仪测量术前及术后1、2、3、6、12个月附睾头、体、尾厚度,观察附睾囊肿、附睾肉芽肿发生情况,并进行比较。结果:输精管结扎术后1、2、3、6、12个月两组附睾头、体、尾分别较术前明显增厚,差异有统计学意义(P﹤0.01),两组间比较差异无统计学差异(P>0.05)。两组术后附睾囊肿发生率(分别为12.9%、13.8%)无统计学差异(P>0.05);两组均未发现附睾肉芽肿。结论:轻、中度VC者输精管结扎后近期不增加附睾淤积程度,应不是输精管结扎后附睾淤积症发生的原因。

Objective：To explore the recent impact of mild or moderate varicocele （VC） on epididymis after vasectomy.Methods：Sixty male volunteers experiencing vasoligation were divided into study group （n=31） with mild or moderate varicocele and the control group （n=29） without varicocele.The operation was performed in accordance with the conventional vasectomy.Ultrasonography was used to measure the thickness of epididymal head,body and tail before and 1,2,3,6,12 months after operation,and incidences of the epididymal cyst as well as the epididymis granuloma were evaluated.Results：Epididymal head,body,tail were significantly thicker 1,2,3,6,12 months after vasoligation in both groups （P all〈0.01）,while there was no statistically significant difference between the two groups （P〉0.05）.The incidence of postoperative epididymis cyst were 12.9% and 13.8% in two groups,showing no statistically significant difference （P 〉0.05）.The epididymis granuloma was not found in the two groups.Conclusion：Mild or moderate varicocele does not aggravate epididymal stasis and could not bring about epididymal stasis in the early stage of vasectomy.