中西医结合治疗慢性附睾炎不育症及其彩超图像对比分析.docVIP

中西医结合治疗慢性附睾炎不育症及其彩超图像对比分析 　　[摘要] 目的 观察中西医结合治疗对慢性附睾炎不育症患者精子质量的影响及治疗前后附睾影像学的变化。 方法 将77例慢性附睾炎不育症患者分为实验组（40例）和对照组（37例）。实验组给予口服左卡尼汀口服液和大黄■虫胶囊，对照组口服司帕沙星。治疗90 d后，观察两组精子质量的变化及彩超图像的改变情况。 结果 治疗后，两组精液质量、附睾大小、附睾彩色多普勒超声血流分级较治疗前有改善，差异均有统计学意义（均P 　　[关键词] 慢性附睾炎；不育症；左卡尼汀；大黄■虫胶囊；中医；彩色多普勒超声 　　[中图分类号] R697.22; R256.52 [文献标识码] A [文章编号] 1673-7210（2012）02（a）-0114-03 　　 　　Integration treatment of traditional Chinese and Western medicine in the treatment of sterility with chronic epididymitis and comparative analysis of the color Dopplar ultrasound images of epididymis 　　WANG Lei1 LU Yuzhong2 YUAN Shaoying3 　　1.Department of Reproductive Health, Maternity and Child Health Hospital of Zhuhai City, Guangdong Province, Zhuhai 519000, China; 2.Guangzhou University of Chinese Medicine, Guangdong Province, Guangzhou 510405, China; 3.Department of Andrology, Zhuhai Hospital Affiliated to Guangdong Provincial TCM Hospital, Guangdong Province, Zhuhai 519015, China 　　[Abstract] Objective To investigate the effect of integration treatment of traditional Chinese and Western medicine in the treatment of sterility with chronic epididymitis and comparative analysis of the color Dopplar ultrasound images of epididymis. Methods A total of 77 cases of infertility with chronic epididymitis were randomly divided into experiment group (40 cases) and control group (37 cases). Experiment group was given the Levocarnitine Oral Solution and the Dahuang Zhechong Capsule, control group was given Sparfloxacin. The changes of the sperm quality and the color Dopplar ultrasound images of epididymis in two groups were investigated. Results The sperm quality, size of testicular and the changes of color Dopplar ultrasound images of epididymis of two groups showed that there were significant differences before and after treatment (all P 　　 　　附睾是精子运输、成熟与获能的关键器官，而慢性附睾炎是男科常见病。因慢性附睾炎病变部位局限，往往由急性???治疗不当迁延而来，也可因感染较轻而逐渐演变所致，其炎症日久可致男性不育。在治疗上，单纯使用抗生素治疗效果报道不一。笔者以中西医结合的方法治疗本病，比较了治疗前后患者精液质量及附睾彩超图像的变化，结果显示中西医结合治疗取