1021例精索静脉曲张患者附睾炎性肿块的临床研究

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Abstract Objective To observe the occurrence of epididymal inflammatory mass in 1021 patients with varicocele and explore the relationship between varicocele and epididymal inflammatory mass. Methods A total of 1128 male infertility patients who were admitted to the Department of Andrology in the First Affiliated Hospital of Zhengzhou University from December 2011 to May 2015 were selected as the research objects. The patients with varicocele were diagnosed,the side and degree of varicocele were distinguished, the location and number of epididymal inflammatory masses were recorded according to the results of physical examination and scrotal ultrasound. The location and incidence of epididymal inflammatory mass in patients with varicocele and non-varicocele, the incidence of epididymal inflammatory mass in patients with different varicocele side and different varicocele degrees were compared. The effects of epididymal inflammatory mass on scrotal temperature, sex hormones and semen quality in patients with varicocele were analyzed.Results There were 1021 cases in the varicocele group and 107 cases in the non-varicocele group. The incidence of epididymal inflammatory mass in the patients with varicocele was higher than that without varicocele, and the difference was statistically significant (P<0.05). The incidence of epididymal inflammatory mass in unilateral varicocele patients was higher than that in bilateral varicocele patients, and the difference was statistically significant (P<0.05). The incidence of epididymal caudal inflammatory masses in the severe varicocele patients was higher than that in the mild to moderate varicocele patients, and the difference was statistically significant (P<0.05). There were no significant differences in sperm concentration, total sperm count and sex hormone levels between the varicocele with epididymal inflammatory mass and the varicocele without epididymal inflammatory mass (P>0.05). The scrotal temperature of the varicocele with epididymal inflammatory mass was higher than that of the varicocele without epididymal inflammatory mass, the proportions of sperm forward movement and seminal plasma neutral glucosidase varicocele in patients with epididymal inflammatory mass were lower than those of the patients without epididymal inflammatory mass, and the differences were statistically significant (P<0.05). Conclusion The incidence of epididymal inflammatory masses in patients with varicocele significantly increase. The incidence of epididymal caudal inflammatory masses in the severe varicocele patients significantly increase. Compared with the varicocele patients without epididymal inflammatory mass,the varicocele patients with epididymal inflammatory mass has lower neutral glucosidase level, increase scrotal temperature and decrease sperm motility.

Key words： Varicocele Epididymal inflammatory mass Male infertility Sperm

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	Articles by authors
	WANG Rui1
	LYU Kun-long
	ZHENG Tao
	ZHANG Tian-biao
	NAN Yong-hao
	HAO Ya-wei
	ZHANG Jie

Cite this article:

WANG Rui1,LYU Kun-long,ZHENG Tao, et al. Clinical study of epididymal inflammatory mass in 1021 patients with varicocele[J]. 中国当代医药, 2021, 28(3): 123-126.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I3/123

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