中药联合低位显微镜下精索静脉结扎术治疗精索静脉曲张致不育症的疗效分析

目的：比较中药、低位显微镜下精索静脉结扎以及两种方法结合对精索静脉曲张伴少弱精症男性不育患者治疗效果，探讨其最佳治疗选择。方法：选择135例精索静脉曲张伴少弱精症男性不育患者，随机分成3组。A组24例单纯中药治疗，B组57例只行低位显微镜下精索静脉结扎术。c组54例低位显微镜下精索静脉结扎术，术后结合中药治疗。并于治疗前和治疗后5-6个月进行精液常规分析。结果：治疗后A、B、c3组患者精子浓度、a级精子比例、a＋b级精子比例均有好转，其中A组只轻微改善，B组显著优于A组，c组改善效果最理想。结论：低位显微镜下精索静脉结扎术结合术后中药治疗效果优于单纯中药治疗及显微镜下精索静脉结扎术．

Efficacy of traditional Chinese medicine therapy,low - approach microsurgical varicocelectomy and the combination in the treatment of infertility caused by varicocele

Objectives： To compare the efficacy of the traditional Chinese medicine therapy, low - approach microsurgical varicocelectomy and the combination in the treatment of infertility caused by varicocele. Methods： 135 male patients of varicocele accompanied with infertility of asthenospermia and oligospermia were randomly divid- ed into traditional Chinese medicine therapy group （group A with 24 cases）, low - approach microsurgical varicoce- lectomy group （group B with 57 cases） and the combination group （group C with 54cases）. The semen was ana- lyzed before and 5 - 6 months after treatment. Results： The sperm concentration, proportion of Class a and a ＋ b sperm in three groups were all improved, where the improvement of Group C was the best and that of Group B was better Group A. Conclusion： The efficacy of low - approach microsurgical varicocelectomy combined with tradition- al Chinese medicine therapy is better than either therapy alone.