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精索压缩/拉伸和钝性解剖对睾丸生长和生育能力的影响。

Effects of compression/stretching of the spermatic cord and blunt dissection on testicular growth and fertility.

机构信息

Department of Surgery, Seoul National University College of Medicine, Jongno-gu, Seoul 110-799, South Korea.

出版信息

J Pediatr Surg. 2009 Nov;44(11):2163-7. doi: 10.1016/j.jpedsurg.2009.03.025.

Abstract

PURPOSE

This study was performed to investigate whether compression/stretching of the spermatic cord or blunt dissection influences testicular development and fertility. In addition, the authors evaluated whether the extents of testicular damage differ between these 2 surgical manipulations.

METHODS

Forty-four prepubertal male Sprague-Dawley (SD) rats (Harlan Sprague-Dawley Inc, Indianapolis, Ind) were divided into 3 groups: (1) the control group (CG) animals underwent a sham operation in the right groin, (2) the experimental group 1 (EG1) underwent compression/stretching of the right spermatic cord, and (3) the experimental group 2 (EG2) underwent dissection around the right spermatic cord structures. Testicular volumes, weights, mean seminiferous tubular diameters (MSTDs), mean testicular biopsy scores, and numbers of offspring and of pregnant females were evaluated.

RESULTS

Right (operative) and left (nonoperative) testicular volumes were smaller in the EG2 group than in the CG or EG1 groups. Left MSTDs in the EG1 and EG2 groups increased more than in the CG group. Numbers of Sertoli cells in left testes differed in the 3 groups, in the order EG1 < CG < EG2. Mean testicular biopsy scores, offspring numbers, and pregnant female numbers were no different in the 3 groups.

CONCLUSIONS

Both surgical manipulations influenced testicular growth, but they did not compromise spermatogenesis or fertility in SD rats.

摘要

目的

本研究旨在探讨精索的压缩/拉伸或钝性解剖是否会影响睾丸发育和生育能力。此外,作者评估了这两种手术操作对睾丸损伤的程度是否存在差异。

方法

44 只未成熟雄性 Sprague-Dawley(SD)大鼠(Harlan Sprague-Dawley Inc,印第安纳波利斯,印第安纳州)分为 3 组:(1)对照组(CG)动物在右侧腹股沟进行假手术,(2)实验组 1(EG1)行右侧精索压缩/拉伸,(3)实验组 2(EG2)行右侧精索结构周围解剖。评估睾丸体积、重量、平均生精小管直径(MSTD)、平均睾丸活检评分以及后代和妊娠母鼠的数量。

结果

EG2 组右侧(手术)和左侧(非手术)睾丸体积小于 CG 或 EG1 组。EG1 和 EG2 组左侧 MSTD 的增加大于 CG 组。3 组左侧睾丸支持细胞数量存在差异,顺序为 EG1 < CG < EG2。3 组的平均睾丸活检评分、后代数量和妊娠母鼠数量无差异。

结论

两种手术操作均影响睾丸生长,但不会损害 SD 大鼠的精子发生或生育能力。

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