Clinical study on testicular blood supply and spermatogenic function during laparoscopic transabdominal preperitoneal repair

doi:10.3969/j.issn.1009-976X.2020.04.017

Abstract

Abstract: Objective To clinical study on testicular blood supply and spermatogenic function during transabdominal preperitoneal repair （TAPP）. Methods A total of 41 cases received from June 2017 to January 2019 in this hospital on TAPP were collected. The sperm concentration, sperm motility, serum follicle stimulating hormone （FSH）, serum inhibin B, testicular volume and peak systolic velocity （PSV） of testicular artery were compared before, 7 days and 6 months after operation. Results There was no significant differences in sperm concentration, sperm motility, FSH, serum inhibin B and testis volume between the patients 7 days and 6 months after operation, the levels of PSV of testis artery of patients at 7 days after operations was significantly different from those before and 6 months after operation. Postoperative hematoma and prolonged operation time are risk factors of abnormal testicular blood supply. Conclusion TAPP has no significant effect on testicular spermatogenesis.

Key words: TAPP, blood perfusion, testicular volume, FSH, inhibin B, sperm concentration, sperm motility

摘要： 目的观察腹经腹腹膜前修补术对睾丸血供及生精功能影响。方法 2017年6月~2019年1月,收集在医院行腹腔镜经腹腹膜前修补术患者,共41例,比较其术前、术后7天、术后6月精子浓度、精子活力、血清卵泡刺激素（FSH）、血清抑制素B（IHN-B）、睾丸体积、睾丸动脉收缩期峰值血液流速（PSV）的差异。结果与术前相比,术后7天及术后6月精子浓度、精子活力、血清卵泡刺激素、血清抑制素B、睾丸体积均无明显差异,而PSV在术后6天较术前有明显降低,差异有统计学意义,而术后6个月差异无统计学意义。术后血肿、手术时间延长是术后睾丸血供异常的风险因素。结论经腹腹膜前修补术对睾丸生精功能无显著影响。

关键词: 精子浓度, 睾丸体积, 腹腔镜经腹腹膜前修补术, 血流灌注, 血清卵泡刺激素, 精子活力, 血清抑制素B

CLC Number:

R656.2+

WU Yong-quan, SHI Yi-jun, DENG Jing, ZHANG Zhou-wen, ZHANG Cai-yun. Clinical study on testicular blood supply and spermatogenic function during laparoscopic transabdominal preperitoneal repair[J]. Lingnan Modern Clinics in Surgery, 2020, 20(04): 480-483.

仵永泉, 石毅军, 邓静, 张周文, 张彩云. 腹腔镜经腹腹膜前修补术对睾丸血供及生精功能影响的临床研究[J]. 岭南现代临床外科, 2020, 20(04): 480-483.

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