平均血小板体积及精索静脉曲张相关性研究.docVIP

平均血小板体积与精索静脉曲张相关性研究 徐学良白冰 辛丽红向阳 张威陈伟 解放军203医院泌尿外科，齐齐哈尔 161000 解放军203医院超声科，齐齐哈尔 161000 [共同第一作者] △ [作者简介]. E-mail: syhchanghai@126.com； ，医师. E-mail:@126.com *通作者（Corresponding author）. Tel: , E-mail:ifyoucanchen@126.com [摘要] 目的方法结果两组平均年龄分别为23.50±5.08岁和24.67±4.33岁（P=0.599）。受试组MPV高于对照组，两组间差异具有统计学意义（P=0.030）MPV与精索静脉曲张等级具有相关性（P=0.03r=0.497）结论 [关键词] 精索静脉曲张；平均血小板体积；相关性 Relationship Between Mean Platelet Volume and Varicocele XU Xueliang1△,BAI Bing2△, XIN Li-hong1, XIANG Yang1, ZHANG Wei1, CHEN Wei1* Department of Urology, NO. 203 hospital of PLA, Qiqihaer, 161000, Heilongjiang, China Department of Ultrasonography，NO. 203 hospital of PLA, Qiqihaer, 161000, China [Abstract] Objective: To explore the relationship between the mean platelet volume (MPV) and varicocele to clarify the etiopathogenesis of varicocele. Methods: MPV levels were measured in 50 varicocele subjects (group I) and 46 healthy controls (group II). The levels of MPV between the two groups were compared. Results: The average patient age at the time of examination was23.50±5.08 years in group I and 24.67±4.33 in group II （P=0.599）. MPV levels were statistically significantly higher in group I than in group II （P=0.030）. Positive correlations were found between MPV and varicocele gradeP=0.03, r=0.497). Conclusions: The levels of MPV were higher in varicocele patients than in healthy peole. The increase in varicocele grade is associated with higher MPV in varicocele patients. The results can provide the reference for examining the etiopathogenesis of varicocele. [Key words] varicocele; mean platelet volume; relationship 精索静脉曲张是导致男性不育的主要原因之一，其主要特点是精索内静脉蔓状静脉丛的异常伸长、扩张和迂曲。精索静脉曲张多认为与精索内静脉的解剖结构有关，但其发病机制至今未有统一定论。平均血小板体积(mean platelet volume, MPV)在血管性疾病中的作用已得到证实，如急性冠状动脉粥样硬化等[1-3]。我院从2012年4月至2013年2月共收治精索静脉曲张患者50例，现探讨精索静脉曲张与MPV之间的关系，报道如下。 1 资料和方法 受试组50例男性精索静脉曲张患者，因患侧阴囊疼痛或坠胀不适就诊，其中左侧45例，右侧5例。50例均行彩色多普勒超声检查以确诊，测量精索内静脉内径、睾丸体积、血流速度等指标。精索静脉曲张共分为三级[4]：I级：曲张静脉触诊不明显，但Valsalva试验时可出现。Ⅱ级：在扪诊时极易触及扩张静脉，但不能看见。