腹腔镜手术联合生精胶囊治疗精索静脉曲张致男性不育的效果

Clinical observation of laparoscopic surgery combined with shengjing capsule in the treatment of male infertility caused by varicocele

目的探讨腹腔镜手术联合生精胶囊治疗精索静脉曲张致男性不孕的临床效果。方法选取2015年1月至2017年12月精索静脉曲张导致的男性不育患者188例,依据治疗方案分为三组,观察组68例给予经腹腔镜手术联合生精胶囊治疗;手术治疗组62例给予单纯腹腔镜手术治疗;药物治疗组58例给予单纯服用生精胶囊治疗,手术治疗组和药物治疗组作为对照组。治疗后3个月,检查患者精液常规,分析精液参数变化情况,比较三组的治疗效果。结果观察组患者治疗后精子密度[(36.1±6.8)×10^6/ml]和治愈率(98.53%)均高于手术治疗组[(31.15±5.5)×10^6/ml),83.87%]和药物治疗组[(28.0±4.5)×10^6/ml,72.41%],差异有统计学意义(P<0.05)。结论经腹腔镜手术联合生精胶囊治疗精索静脉曲张导致的男性不育,较其他治疗方法效果更好,能有效改善患者精液质量,值得临床推广应用。

Objective To investigate the clinical effect of laparoscopic surgery combined with shengjing capsule on male infertility caused by varicocele.Methods A total of 188 cases of male infertility caused by varicocele in our hospital from January 2015 to December 2017 were selected.According to the simple random method,they were divided into three groups.In observation group,68 cases were treated by laparoscopic surgery combined with Shengjing capsule as observation group.In operation group,62 cases were treated with laparoscopic surgery alone.In drug treatment group,58 cases were treated with Shengjing Capsule alone.The operation group and drug treament group served as control group.Three months after treatment,the patient’s semen routine was detected.The changes of semen parameters were analyzed.The therapeutic effects of the three groups were compared.Results After treatment,the sperm density [(36.1±6.8)×10^6/ml] and the cure rate(98.53%) in the observation group were higher than those in the operation group [(31.15±5.5)×10^6/ml,83.87%] and the drug treatment group [(28.0±4.5)×10^6/ml,72.41%],the differences were significant(P<0.05).Conclusions Laparoscopic surgery combined with Shengjing Capsule in the treatment of male infertility caused by varicocele is more effective than other treatments.It can effectively improve the semen quality of patients and is worthy of clinical application.