本文選題：青春期 + 精索靜脈曲張��； 參考：《復(fù)旦學(xué)報(醫(yī)學(xué)版)》2015年05期

【摘要】：青春期精索靜脈曲張(adolescent varicocele,AVC)隨著年齡的增長,發(fā)病率逐漸增高。青春期后期的發(fā)生率為9%~26%,平均約為15%,與成年男性的發(fā)生率相近。AVC最大的隱患是可能影響睪丸的生精功能,繼發(fā)不育,且多數(shù)患者因無明顯臨床癥狀,容易造成診斷延遲。手術(shù)治療可以逆轉(zhuǎn)睪丸損傷,正確選擇手術(shù)時機(jī)尤為重要,依據(jù)包括:(1)精液分析異常;(2)雙側(cè)睪丸體積差異≥20%或青春期后期≥15%,或患側(cè)睪丸體積小于正常值-2個標(biāo)準(zhǔn)差(standard deviation,SD),伴有或不伴有曲張精索靜脈血液返流流速峰值(peak retrograde flow,PRF)≥38 cm/s;(3)有明顯的臨床癥狀;(4)雙側(cè)精索靜脈曲張。
[Abstract]:The incidence of adolescent varicocele AVC increased with age. The incidence rate of late puberty is 9 and 26, the average is about 15. The biggest hidden trouble of AVC is that it may affect testicular spermatogenic function and secondary infertility, and most of the patients have no obvious clinical symptoms, so the diagnosis is easy to be delayed. Surgical treatment can reverse testicular injury, so it is important to choose the right time of operation. 2) bilateral testicular volume difference 鈮，

本文編號：1812851