体型对精索静脉曲张发病和程度的影响
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摘要
目的评估体型是否会影响精索静脉曲张(varicocele,VC)的发病率和程度。方法将196例VC患者和48例非VC患者分别纳入观察组与对照组,比较两组的身高、体质量和体质量指数(body mass index, BMI)。根据身高将患者分为<170cm组、170cm～组和≥180cm组,根据体质量分为<60kg组、60kg～组、70kg～组和≥80kg组,根据BMI分为过轻组(<18.50)、正常组(18.50～24.00)、超质量组(24.00～)和肥胖组(>28.00),比较各组的精索静脉内径。结果观察组与对照组的身高为(174.92±5.91)cm vs (174.21±5.93)cm、体质量为(72.78±11.54)kg vs (75.81±11.11)kg,两组比较均无统计学差异(P>0.05);而观察组的BMI小于对照组(23.61±3.49 vs 24.98±2.95),差异有统计学意义(P<0.05)。VC患者中,各身高组、各体质量组、各BMI组的精索静脉内径均无统计学差异(P>0.05)。结论 BMI小是VC的危险因素,而身高、体质量不影响VC的发病。身高、体质量、BMI等体型因素均不影响VC的程度。
Objective To evaluate the influence of body type on incidence and severity of varicocele. Methods 196 patients with varicocele and 48 men without varicocele were assigned into the observation group and the control group. Their height, weight and body mass index(BMI)were measured. Patients with varicocele were divided into several groups according to height, weight and BMI respectively, and spermatic vein diameter in each group was measured. Results There were no differences in height and weight between the observation group and the control group(P>0.05),while BMI in the observation group was obviously lower than that in the control group(P <0.05). For patients with varicocele, there was no significant difference in spermatic vein diameter among each group divided by height,weight and BMI. Conclusions Lower BMI is a risk factor for incidence of varicocele, whereas height and weight have no correlation with it. BMI, height and weight have no effect on the severityofvaricocele.
Objective To evaluate the influence of body type on incidence and severity of varicocele. Methods 196 patients with varicocele and 48 men without varicocele were assigned into the observation group and the control group. Their height, weight and body mass index(BMI)were measured. Patients with varicocele were divided into several groups according to height, weight and BMI respectively, and spermatic vein diameter in each group was measured. Results There were no differences in height and weight between the observation group and the control group(P>0.05),while BMI in the observation group was obviously lower than that in the control group(P <0.05). For patients with varicocele, there was no significant difference in spermatic vein diameter among each group divided by height,weight and BMI. Conclusions Lower BMI is a risk factor for incidence of varicocele, whereas height and weight have no correlation with it. BMI, height and weight have no effect on the severityofvaricocele.
引文
1 Sabanegh E AA.Male infertility.In:Wein AJ KL,Novick AC.Campbell-walsh urology.10th ed.Philadelphia:Saunders 2012:636-637
2 Gat Y,Zukerman Z,Chakraborty J,et al.Varicocele,hypoxia and male infertility.Fluid Mechanics analysis of the impaired testicular venous drainage system.Hum Reprod2005;20(9):2614-2619
3 Will Ma,Swain J,Fode M,et al.The great debate:Varicocele treatment and impact on fertility.Fertil Steril 2011;95(3):841-852
4李权,谢建军,邓君鹏,等.腹腔镜下保留精索内动脉的曲张静脉高位结扎术治疗精索静脉曲张(附42例报告).中国男科学杂志2016;30(7):34-37
5张建,崔书锦,袁亦铭,等.显微镜外环下精索静脉结扎与精索内静脉高位结扎术治疗重度精索静脉曲张的比较.中国男科学杂志2017;31(4):12-17
6向紫兵,吴小云,任乾,等.精索静脉曲张患者手术治疗前后精子活力的变化(附1000例疗效观察).中国男科学杂志2015;29(8):53-54
7曾京华,罗汉宏,刘一梅,等.比较两种手术方式治疗重度精索静脉曲张对患者生精功能的影响.中国男科学杂志2013;27(4):34-38
8姚林亚,曾学明,郑天如,等.腹腔镜高位结扎联合中药对精索静脉曲张合并不育症精液的影响.中国男科学杂志2014;28(3):48-51
9林晓智,翁治委,陆泽楷,等.中药联合地奥司明治疗轻中度精索静脉曲张合并精子质量异常的临床观察.中国男科学杂志2017;31(3):57-59
10郑慧杰,熊海云,余明主,等.青年精索静脉曲张程度与精液质量的相关性分析.中国男科学杂志2015;29(10):63-64
11孙伟龙,刘光涛,王开翔,等.精索静脉曲张患者精液质量68例分析.中国男科学杂志2016;30(7):54-56
12 Jungwirth A,Diemer T,Dohle GR,et al.EAU guidelines on male infertility.Eur Assoc Urol 2016:18-20
13《精索静脉曲张诊断与治疗中国专家共识》编导组中华医学会男科学分会.精索静脉曲张诊断与治疗中国专家共识.中华男科学杂志2015;21(11):1035-1042
14 Yigitler C,Yanardag H,Silit E,et al.Evaluation of inguinoscrotal pathologies among adolescents with special emphasis on association between varicocele and body mass index.J Urol 2012;9(3):592-599
15 Shafi H,Agajani Delavar M.Differences in body mass index and height factors between men with and without?varicocele.Med Glas(Zenica)2015;12(2):212-215
16 Bae K,Shin HS,Jung HJ,et al.Adolescent varicocele:are somatometric parameters a cause.Korean J Urol 2014;55(8):533-535
17刘庆,张廷涛,朱保平,等.体型与精索静脉曲张关系的研究.现代泌尿外科杂志2015;20(4):241-243
18 Hassanzadeh K,Yavari-Kia P,Soleymanpour H,et al.Effect of body mass index on severity and prevalence of varicocele.Pak J Biol Sci 2011;14(18):869-875
19 Nanavati R,Jasinski P,Adrahtas D,et al.Correlation between pelvic congestion syndrome and body mass index.J Vasc Surg 2018;67(2):536-541
20 Gorur S,Candan Y,Helli A,et al.Low body mass index might be a predisposing factor for varicocele recurrence:a prospective study.Andrologia 2015;47(4):448-454
21 Soylemez H,Atar M,Ali Sancaktutar A,Bozkurt Y,Penbegul N.Varicocele among healthy young men in Turkey;prevalence and relationship with body mass index.Int Braz J Urol 2012;38(1):116-121
22 Chanc Walters R,Marguet CG,Crain DS.Lower prevalence of varicoceles in obese patients found on routine scrotal ultrasound.J Urol 2012(2);187:599-601
23 Al-Ali BM,Shamloul R,Pichler M,et al.Clinical and laboratory profiles of a large cohort of patients with different grades of varicocele.Cent Eur J Urol 2013;66(1):71-74
24 Fazeli F,Shahraki M,Bazzaz MM,et al.Association between Body Mass Index and frequency and grade of varicocele in southeast Iran.J Med Life 2015;8(2):62-65
25 Umul M,De irmenci B,Umul A,et al.Examining the aetiopathogenesis of varicoceles:the relationship between retroperitoneal adipose tissue and testicular venous drainage.Andrologia 2016;48(3):293-299
2 Gat Y,Zukerman Z,Chakraborty J,et al.Varicocele,hypoxia and male infertility.Fluid Mechanics analysis of the impaired testicular venous drainage system.Hum Reprod2005;20(9):2614-2619
3 Will Ma,Swain J,Fode M,et al.The great debate:Varicocele treatment and impact on fertility.Fertil Steril 2011;95(3):841-852
4李权,谢建军,邓君鹏,等.腹腔镜下保留精索内动脉的曲张静脉高位结扎术治疗精索静脉曲张(附42例报告).中国男科学杂志2016;30(7):34-37
5张建,崔书锦,袁亦铭,等.显微镜外环下精索静脉结扎与精索内静脉高位结扎术治疗重度精索静脉曲张的比较.中国男科学杂志2017;31(4):12-17
6向紫兵,吴小云,任乾,等.精索静脉曲张患者手术治疗前后精子活力的变化(附1000例疗效观察).中国男科学杂志2015;29(8):53-54
7曾京华,罗汉宏,刘一梅,等.比较两种手术方式治疗重度精索静脉曲张对患者生精功能的影响.中国男科学杂志2013;27(4):34-38
8姚林亚,曾学明,郑天如,等.腹腔镜高位结扎联合中药对精索静脉曲张合并不育症精液的影响.中国男科学杂志2014;28(3):48-51
9林晓智,翁治委,陆泽楷,等.中药联合地奥司明治疗轻中度精索静脉曲张合并精子质量异常的临床观察.中国男科学杂志2017;31(3):57-59
10郑慧杰,熊海云,余明主,等.青年精索静脉曲张程度与精液质量的相关性分析.中国男科学杂志2015;29(10):63-64
11孙伟龙,刘光涛,王开翔,等.精索静脉曲张患者精液质量68例分析.中国男科学杂志2016;30(7):54-56
12 Jungwirth A,Diemer T,Dohle GR,et al.EAU guidelines on male infertility.Eur Assoc Urol 2016:18-20
13《精索静脉曲张诊断与治疗中国专家共识》编导组中华医学会男科学分会.精索静脉曲张诊断与治疗中国专家共识.中华男科学杂志2015;21(11):1035-1042
14 Yigitler C,Yanardag H,Silit E,et al.Evaluation of inguinoscrotal pathologies among adolescents with special emphasis on association between varicocele and body mass index.J Urol 2012;9(3):592-599
15 Shafi H,Agajani Delavar M.Differences in body mass index and height factors between men with and without?varicocele.Med Glas(Zenica)2015;12(2):212-215
16 Bae K,Shin HS,Jung HJ,et al.Adolescent varicocele:are somatometric parameters a cause.Korean J Urol 2014;55(8):533-535
17刘庆,张廷涛,朱保平,等.体型与精索静脉曲张关系的研究.现代泌尿外科杂志2015;20(4):241-243
18 Hassanzadeh K,Yavari-Kia P,Soleymanpour H,et al.Effect of body mass index on severity and prevalence of varicocele.Pak J Biol Sci 2011;14(18):869-875
19 Nanavati R,Jasinski P,Adrahtas D,et al.Correlation between pelvic congestion syndrome and body mass index.J Vasc Surg 2018;67(2):536-541
20 Gorur S,Candan Y,Helli A,et al.Low body mass index might be a predisposing factor for varicocele recurrence:a prospective study.Andrologia 2015;47(4):448-454
21 Soylemez H,Atar M,Ali Sancaktutar A,Bozkurt Y,Penbegul N.Varicocele among healthy young men in Turkey;prevalence and relationship with body mass index.Int Braz J Urol 2012;38(1):116-121
22 Chanc Walters R,Marguet CG,Crain DS.Lower prevalence of varicoceles in obese patients found on routine scrotal ultrasound.J Urol 2012(2);187:599-601
23 Al-Ali BM,Shamloul R,Pichler M,et al.Clinical and laboratory profiles of a large cohort of patients with different grades of varicocele.Cent Eur J Urol 2013;66(1):71-74
24 Fazeli F,Shahraki M,Bazzaz MM,et al.Association between Body Mass Index and frequency and grade of varicocele in southeast Iran.J Med Life 2015;8(2):62-65
25 Umul M,De irmenci B,Umul A,et al.Examining the aetiopathogenesis of varicoceles:the relationship between retroperitoneal adipose tissue and testicular venous drainage.Andrologia 2016;48(3):293-299