摘要
初步报告15例精索静脉旁路术手术各期精索静脉血与外周静脉血AGⅠ、AGⅡ及T测定结果。旁路术前精索静脉AGⅠ和AGⅡ平均含量均高干外周静脉,旁路术后精索静脉AGⅠ和AGⅡ平均含量较吻合前明显降低,术后外周静脉AGⅠ和AGⅡ平均含量较术前提高,经统计学分析均有显著差异(P<0.05)。提示该手术可改善局部循环和调整AGⅠ和AGⅡ失衡。手术前后睾丸酮测定平均含量略有改变,统计学处理无显著差异(P>0.05),考虑该激素代谢在本病未受影响。认为旁路术可作为治疗精索静脉曲张症的首选方法,并主张对曾行精索静脉高位结扎术后复发者应积极进行再次手术,建立旁路循环。
AbstractA comparative study of renin(AGI),angiotensin(AGII)and testosterone(T)assay of blood from theinternal spermatic vein and peripheral vein before and after the venous by-pass operation between internalspermatic vein and inferior epigastric vein was carriedout in l5 cases of varicocele. There were significantdifference of average level of AGl and AGll in the in-ternal spermatic vein and peripheral vein before and af-ter the venous by-pass operation(P<0.05),while nosignificant difference of T average level was observed(P<0.05).It is claimed that the venous by~pass oper-ation may improve local circulation and adjust AGI andAGll level.So it may be suggested as the first choicefor treatment of varicocele,and this operation wouldbe performed again to the patients who failed in simpleligation of the internal spermatic.
出处
《中华显微外科杂志》
CSCD
北大核心
1995年第3期200-202,共3页
Chinese Journal of Microsurgery