Yu Jian-Jun, Xu Yue Min, Tao Yian
Department of Urology, the Affiliated Hospital of Shanghai JiaoTong University, Shanghai Sixth People's Hospital, Shanghai, China.
Urol Int. 2011;86(3):325-9. doi: 10.1159/000323703. Epub 2011 Feb 5.
To develop a modified rat varicocele model.
300 male Sprague-Dawley rats were selected. In 82 rats (classic group, CG), this was achieved by dissecting the left renal vein and ligating it using a 0.8-mm metal clip and 3-0 silk suture proximal to the inferior vena cava, followed by removal of the bar. In 118 rats (modified group, MG), in addition to the partial ligation of the left renal vein, the communicating branch was fully ligated. In 100 rats (sham operation group, SG), the left renal vein and communicating branches were dissected, but not ligated. The seminal fluid was aspirated and the diameters of the left spermatic veins were analyzed. Three months later, the examination was performed again.
The diameters were 0.16 ± 0.1 mm and 1.88 ± 0.1 mm before and after operation, respectively, in the CG (p < 0.01), and 0.15 ± 0.05 mm and 2.0 ± 0.1 mm in the MG (p < 0.01). Postsurgical diameters in the CG and MG were 1.88 ± 0.1 mm and 2.0 ± 0.1 mm (p > 0.5), and 0.16 ± 0.1 mm and 0.16 ± 0.11 mm in the SG (p > 0.5). Semen parameters in the CG had significant differences before and after the operation (p < 0.01), were significantly lower in the MG (p < 0.01), and had no significant differences in the SG (p > 0.5).
Simple partial ligation of the renal vein combined with ligation of the communicating branch leads to acceptable models for varicocele.
建立改良大鼠精索静脉曲张模型。
选取300只雄性Sprague-Dawley大鼠。82只大鼠(经典组,CG)通过解剖左肾静脉,在其靠近下腔静脉处用0.8毫米金属夹和3-0丝线结扎,然后移除金属夹来实现。118只大鼠(改良组,MG)除部分结扎左肾静脉外,还将交通支完全结扎。100只大鼠(假手术组,SG)解剖左肾静脉及其交通支,但不结扎。抽取精液并分析左侧精索静脉直径。三个月后再次进行检查。
CG组术前、术后精索静脉直径分别为0.16±0.1毫米和1.88±0.1毫米(p<0.01),MG组为0.15±0.05毫米和2.0±0.1毫米(p<0.01)。CG组和MG组术后直径分别为1.88±0.1毫米和2.0±0.1毫米(p>0.5),SG组术前、术后分别为0.16±0.1毫米和0.16±0.11毫米(p>0.5)。CG组手术前后精液参数有显著差异(p<0.01),MG组显著降低(p<0.01),SG组无显著差异(p>0.5)。
单纯部分结扎肾静脉并联合结扎交通支可建立可接受的精索静脉曲张模型。