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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Long-term effect of varicocele repair on intratesticular arterial resistance index.
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Long-term effect of varicocele repair on intratesticular arterial resistance index.

机译：精索静脉曲张修复对睾丸内动脉阻力指数的长期影响。

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PURPOSE: To investigate the long-term effect of varicocele repair on ipsilateral intratesticular arterial resistance index (RI) using color Doppler sonography (CDS). METHODS: A total of 26 infertile patients with left varicocele who underwent a testicular artery and lymphatic-sparing subinguinal varicocelectomy were examined with CDS for intratesticular flow parameters before and at least 6 months after surgery. We also evaluated preoperative and postoperative semen parameters. RESULTS: The mean values of RI, end-diastolic velocity and pulsatility index decreased significantly after surgery, whereas no significant change was observed in peak systolic velocity. Repair of the varicocele resulted in a statistically significant increase in the total sperm count, motility, morphology, and total motile sperm count. However, no significant correlation was found between sperm parameters and RI values (p > 0.05). CONCLUSIONS: Our data show that a significant improvement occurs in testicular blood supply and sperm parameters after surgical varicocele repair, without significant correlation between these 2 changes.
机译：目的：使用彩色多普勒超声检查（CDS）探讨精索静脉曲张修复对同侧睾丸内动脉阻力指数（RI）的长期影响。方法：对26例行睾丸动脉和保留淋巴结的子宫颈下精索静脉曲张切除术的不育不育患者进行术前和术后至少6个月的CDS检查。我们还评估了术前和术后精液参数。结果：手术后RI，舒张末期速度和搏动指数的平均值明显降低，而收缩期峰值速度没有明显变化。精索静脉曲张的修复导致精子总数，运动能力，形态学和活动精子总数的统计上显着增加。但是，在精子参数和RI值之间未发现显着相关性（p> 0.05）。结论：我们的数据显示，手术精索静脉曲张修复后，睾丸的血液供应和精子参数发生了显着改善，而这两个变化之间没有显着相关性。

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