Varicocele And Research Of The Relationship Of Male Infertility

Objective：Varicocele in clinical more common, varicocele because spermaticvein circumfluence to block or valve disorders, and blood reflux, spermatic vein flowwithin the YuZhi, cause cirsoid vein plexus happen different degrees of authorexpansion. Light person have no obvious symptoms, the person that weigh a pain, thebulge in discomfort, but any damage born fine function to cause infertility, remains tobe seen. This topic through the research of varicocele patients before surgery andsurgery, sperm activity after rate, sperm density, sex hormones level and pregnancy ratechanges, this paper discusses varicocele and male sterility of the relationship.Methods: Retrospective analysis in January2005-2011on January120anexample by surgery (40cases by laparoscopic surgery and the groin spermatic vein highligation80cases) of varicocele cases, of which71cases of II, III degrees in49cases.The preoperative and postoperative3standard testing semen, promote bloodfollicle-stimulating hormone (F011icle-stimulating hormone, FSH), promote inducesluteum hormone (Luteinizing hormone, LH) and Testosterone (Testosterone, T), scrotalcolor doppler ultrasound testicular size, the statistical analysis. Postoperative follow-upor outpatient service follow-up using the phone more than a year, is pregnant.Results:120cases are performed success,70patients with abnormal preoperativesemen, preoperative semen parameters: sperm density (14.65+/-7.58x106ml,3months after sperm density (40.50+/-9.05x106ml, postoperative sperm densityincrease significantly (P <0.05); Preoperative activities rate (45.2+/-9.21)%,3monthsafter sperm activity rate is67.45+/-9.45)%, postoperative sperm activity ratesignificantly increased (P <0.05),56cases of sperm density, sperm activity rate andpower before a significantly increased.Sex hormone level:51patients preoperative sex hormones at least one abnormallevel.Preoperative testosterone (3.86+/-1.66ng/ml3months after testosterone (5.66+ /-1.61ng/ml, postoperative testosterone is significantly improve (P <0.05).Preoperative promote follicle-stimulating hormone (9.21+/-1.26mIU/ml,3months after promote follicle-stimulating hormone (6.51+/-0.82mIU/ml postoperativefollicle-stimulating hormone (FSH) levels were relatively before promoting improvedobviously (P <0.05).Preoperative corpus luteum erythropoietin (6.88+/-0.38mIU/ml,3months aftercorpus luteum erythropoietin (3.02+/-0.42mIU/ml, postoperative corpus luteumerythropoietin is obviously improve the before (P <0.05).25cases with the left testicular atrophy patients a year after the testicular18casesbeen restored. Preoperative left testicular (9.37+/-2.85ml postoperative (11.73+/-2.70ml, significant difference (P <0.05).Preoperative infertility in72cases, postoperative spouse pregnancy34cases, thepregnancy rate was47.2%(34/72), of which six months after surgery20cases,postoperative6to12months in9cases,12to24months after5cases.Conclusion:1. Varicocele can cause male patients sperm density and spermactivity rate to decrease.2. Varicocele can cause the male sex hormones FSH peripheral blood, LH, T levelof different degree of change.3, part of the cases testicular atrophy postoperative ease.4. Varicocele and sterility is concerned,...