输精管结扎术后痛性结节和附睾郁积症与抗精子抗体的关系

本文采用Kibrick、Franklin-Dukes和Isojima三种试验法,对输精管结扎术后无并发症者253例,有痛性结节和附睾郁积症者20例,以及未作输精管结扎的正常对照者319例的血清进行了检测。其结果显示输精管结扎术后这三种方法的阳性率和滴度都有非常显著的提高,但在输精管结扎术后有和无痛性结节及附睾郁积症两组间,这三种方法的阳性率无显著差异。在有这两种并发症组中,Franklin-Dukes试验的滴度高而kibrick和Isojima试验的滴度却低。因此,测定血清中的抗精子抗体对诊断痛性结节和附睾郁积症以及估价其严重程度是无助的。

Relationship between sore vasitis node, epididymal stasis and antisperm antibody after vasectomy

Serum immune tests (Kibrick, F-D and isojima tests) were done in 253 cases without any complications and 20 cases with sore vasitis node and epididymal stasis after vasectomy as well as 319 normal nonvasectomized control males. The results showed that the positive rates and titers of these three methods in the vasectomy group were all significantly increased, but the positive rates of the methods between the groups with and without sore vasitis node and epididymal stasis had no obvious difference, and in group with complications the titer of F-D was higher but Kibrick and Isojima levels were lower than in the complication-free group. It is concluded that there is no relation between the titers of these tests and the presence or severity of the complications.