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精索静脉曲张患者精索静脉丛中6-酮前列腺素F和一氧化氮水平的显著改变。

Significant alterations of 6-keto prostaglandin F and NO levels in spermatic vein plexus patients with varicocele.

作者信息

Tian L, Han H, Lei H-E, Qian X-S, Feng S-J, Zhang X-D

机构信息

Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.

出版信息

Andrologia. 2018 Feb 20. doi: 10.1111/and.12993.

Abstract

To investigate the level variation of correlative factors between the spermatic vein plexus and peripheral blood in patients with varicocele, a total of 22 patients diagnosed with varicocele were enrolled in the study. All patients were performed a testicular artery-sparing microsurgical varicocelectomy. During the operation, a blood sample from the left spermatic vein plexus and a peripheral blood sample were collected. A radioimmunoassay was used to determine the 6-keto prostaglandin F (6-keto-PGF ). A colorimetric method was performed to determine the NO. The enzyme immunoassay method was used to determine the creatinine, urea nitrogen, adrenaline, noradrenaline, dopamine and 5-HT. The mean age of all patients was 29.3 ± 7.8 years. Compared with the level of 6-keto-PGF and NO in the peripheral blood, 6-keto-PGF and NO were significantly increased in left spermatic vein plexus (347.3 (230.8-415.1) versus 99.7 (80.4-119.9) pg/ml and 192.3 ± 178.5 versus 107.1 ± 73.6 μmol/L, p < .05). There were no differences in the level of creatinine, urea nitrogen, adrenaline, noradrenaline, dopamine and 5-HT between the peripheral blood and left spermatic vein plexus (p > .05). The 6-keto-PGF and NO concentrations in left spermatic vein plexus were significantly higher than that in peripheral blood patients with varicocele.

摘要

为研究精索静脉曲张患者精索静脉丛与外周血中相关因子的水平变化,本研究共纳入22例诊断为精索静脉曲张的患者。所有患者均接受保留睾丸动脉的显微外科精索静脉结扎术。术中采集左侧精索静脉丛血样和外周血样。采用放射免疫分析法测定6-酮-前列腺素F(6-keto-PGF)。采用比色法测定一氧化氮(NO)。采用酶免疫分析法测定肌酐、尿素氮、肾上腺素、去甲肾上腺素、多巴胺和5-羟色胺(5-HT)。所有患者的平均年龄为29.3±7.8岁。与外周血中6-keto-PGF和NO水平相比,左侧精索静脉丛中6-keto-PGF和NO显著升高(347.3(230.8 - 415.1)对99.7(80.4 - 119.9)pg/ml,以及192.3±178.5对107.1±73.6μmol/L,p <.05)。外周血与左侧精索静脉丛中肌酐、尿素氮、肾上腺素、去甲肾上腺素、多巴胺和5-HT水平无差异(p >.05)。精索静脉曲张患者左侧精索静脉丛中6-keto-PGF和NO浓度显著高于外周血。

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