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中文摘要

《亚洲男性学杂志》 2016; 18 (2): 213-216

【特刊综述】性腺机能减退与勃起功能障碍进退两难:何时才能选择精索静脉曲张修复手术
过去采用精索静脉曲张切除术主要是为了治疗不育,精液参数异常,或者青少年睾丸发育不良,萎缩及其引起的疼痛。采用精索静脉曲张外科手术治疗性腺机能减退目前还存在争议。最近许多研究报道表明精索静脉曲张与性腺机能减退有关,其修复手术可以增加睾酮水平。伴有性腺机能减退症状的患者至少具有2倍正常的血清睾酮水平。显微精索静脉曲张切除术或许对临床上明显伴有记录性性腺机能减退的精索静脉曲张患者有疗效。在这篇综述里,我们总结了最近与性腺机能减退和性功能障碍相关的精索静脉曲张及其修复对血清睾酮水平影响的相关文献。我们利用关键词“varicocele and hypogonadism”和“varicocele surgery and testosterone”检索了1998年后的英文文献。本文还评估了精索静脉修复手术对血清睾酮水平变化的影响。
关键词:性腺机能减退;精索静脉曲张;精索静脉曲张切除术;勃起功能障碍

 
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