A case of microsurgical varicocelectomy combined with traditional Chinese and western medicine in the treatment of natural pregnancy of nonobstructive azoospermia spouse
WU Xiaolin1 WU Jinggen2▲
1.Reproductive Medicine Centre,the Fourth Affiliated Hospital,Zhejiang University School of Medicine,Zhejiang Province,Yiwu 322000,China;
2.Reproductive Medicine Centre,Women's Hospital School of Medicine Zhejiang University,Zhejiang Province,Hangzhou 310000,China
This paper reports a male infertility patient with non-obstructive azoospermia and varicocele who underwent microsurgical varicocelectomy (preoperative monitoring and evaluation of the spermatic artery to protect the spermatic artery).During the operation,6 left pampiniform spermatic veins were ligated,3 pampiniform veins were ligated and the spermatic arteries were protected.After the surgery,the patient was treated with traditional Chinese and western medicine(Letrozole+Xianlu Oral Liquid),and enough ejaculated sperm was obtained,so that his spouse had a natural pregnancy and live birth of a female infant.This case shows that in addition to assisted reproductive technology,minimally invasive urological surgery combined with traditional Chinese and western medicine treatment is also an effective treatment strategy for such patients.This method can not only reduce the surgical trauma of the patient,but also reduce the economic cost and help to promote eugenics.
邬晓琳1； 吴敬根2▲. 显微精索静脉曲张手术联合中西医治疗非梗阻性无精子症配偶自然妊娠活产一例[J]. 中国当代医药, 2024, 31(13): 123-126.
WU Xiaolin1 WU Jinggen2▲. A case of microsurgical varicocelectomy combined with traditional Chinese and western medicine in the treatment of natural pregnancy of nonobstructive azoospermia spouse. 中国当代医药, 2024, 31(13): 123-126.
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