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首页> 外文期刊>Urology >Benefits of microsurgical repair of adolescent varicocele: comparison of semen parameters in fertile and infertile adults with varicocele.
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Benefits of microsurgical repair of adolescent varicocele: comparison of semen parameters in fertile and infertile adults with varicocele.

机译：青春期精索静脉曲张显微手术修复的好处：可育和不育成人精索静脉曲张精液参数的比较。

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OBJECTIVES: To compare preoperative semen parameters and the effect of microscopic varicocele repair on semen parameters in adolescents, fertile adults, and infertile adults with varicocele. METHODS: A total of 96 patients (35 adolescents, 20 fertile adults, and 41 infertile adults) were included in the primary analysis. RESULTS: The fertile adults had a higher sperm count than did the adolescents or infertile adults (P <0.001). In infertile adults, the percentage of normal sperm increased from 14.9% +/- 1.0% preoperatively to 21.2% +/- 2.2% at 3 months (P = 0.013) and 22.1% +/- 2.2% (P = 0.003) at 6 months. The infertile adults had a lower sperm count than did the adolescents and fertile adults at both 3 (P = 0.014) and 6 (P = 0.003) months. The postoperative sperm motility in adolescents was significantly greater than that in the infertile adults at 3 (P = 0.009) and 6 (P = 0.003) months. The proportion of sperm with normal morphology was not statistically different at either 3 or 6 months among the groups. No significant differences were detected in the increase in semen parameters at 3 or 6 months among patients before or after surgery. CONCLUSIONS: The results of our findings suggest that after varicocele repair the degree of improvement in semen parameters is not different. However, because the baseline values of the semen parameters in adolescents were better than those in infertile adults, the postoperative values in the adolescents were superior to those in infertile adults and at least as good as those in fertile adults.
机译：目的：比较术前精液参数和显微精索静脉曲张修补术对青少年，可育成年人和不育精索静脉曲张精液参数的影响。方法：总共包括96名患者（35名青少年，20名可育成人和41名不育成人）被纳入主要分析。结果：可育成年人的精子数量高于青少年或不育成年人（P <0.001）。在不育成人中，正常精子的百分比从术前的14.9％+/- 1.0％增加到3个月时的21.2％+/- 2.2％（P = 0.013）和6个月时的22.1％+/- 2.2％（P = 0.003）。个月。在三个月（P = 0.014）和六个月（P = 0.003）两个月中，不育成年人的精子数量均低于青少年和可育成年人。在3个月（P = 0.009）和6个月（P = 0.003）时，青少年的术后精子活动力显着高于不育成人。各组中3个月或6个月时，形态正常的精子比例无统计学差异。在手术前后3个月或6个月的患者中，精液参数的增加没有发现明显差异。结论：我们的研究结果表明精索静脉曲张修复后精液参数的改善程度没有差异。但是，由于青少年的精液参数基线值比不育成人的基线值要好，因此青少年的术后值优于不育成人的术后值，至少与不育成人的情况一样好。

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