Guo Wen-Bin, Yang Cheng, Bian Jun, Xia Hui, Yang Jian-Kun, Zhou Qi-Zhao, Chen Ming-Kun, Xue Kang-Yi, Zhang Wan-Song, Wang Peng, Li Xin, Liu Cun-Dong
Department of Urology, the Third Affiliated Hospital of Southern Medical University, No. 183 West Zhongshan Road, Tianhe District, 510630, Guangzhou, People's Republic of China.
Center for Clinical Research and Innovation, Shenzhen Hospital of Southern Medical University, Shenzhen, People's Republic of China.
BMC Urol. 2018 Jun 7;18(1):58. doi: 10.1186/s12894-018-0350-7.
We introduced and recreated a more consistent and effective experimental varicocele rat model by a new clip technique.
A total of 40 rats were numbered and randomly assigned to 5 groups of 8 each, including sham surgery (Group I), conventional (Group II) and clip groups with 0.7, 0.8, 0.9 mm gap widths, respectively (Group III, IV, V). All of the rats in each group were sacrificed at 8 weeks after initial surgery, and the rats forming out with less than 1 mm diameter of left spermatic vein or no presence of the pampiniform plexus dilation were excluded from the experimental groups. The left spermatic vein (LSV) diameter, testicular weight, left kidney weight to body weight coefficients, kidney and testicular histology were determined.
The baseline mean diameter of the LSV in Group I, II and III was 0.22 ± 0.02, 0.23 ± 0.02 and 0.22 ± 0.03 mm, respectively (P = 0.7504). At 8 weeks after initial surgery, varicocele was successfully created in 6/8 (75%), 7/8 (87.5%), 3/8 (37.5%), 3/8 (37.5%) in GroupII-V, no varicocele was observed in Group I. In Group I, II and III, no pathological changes were observed and the left kidney weight to body weight coefficients showed no significant differences. The diameter of LSV was remarkably increased both in Group II and III compared to Group I (1.72 ± 0.13, 1.57 ± 0.19 and 0.25 ± 0.02, respectively), and Group II and III had a smaller testicular weight than the rats in Group I (1.67 ± 0.05, 1.62 ± 0.06, and 1.92 ± 0.12, respectively).
With a new clip technique, surgically inducing varicocele rat model becomes convenient and safe. This appears to improve the effectiveness of the model and this innovation may allow us to further understand the pathophysiology of varicocele.
我们通过一种新的夹闭技术引入并重建了一种更一致、有效的实验性精索静脉曲张大鼠模型。
将40只大鼠编号并随机分为5组,每组8只,包括假手术组(I组)、传统组(II组)以及夹闭间隙宽度分别为0.7、0.8、0.9毫米的夹闭组(III组、IV组、V组)。每组所有大鼠在初次手术后8周处死,将左精索静脉直径小于1毫米或不存在蔓状静脉丛扩张的大鼠排除在实验组之外。测定左精索静脉(LSV)直径、睾丸重量、左肾重量与体重系数、肾脏和睾丸组织学。
I组、II组和III组LSV的基线平均直径分别为0.22±0.02、0.23±0.02和0.22±0.03毫米(P = 0.7504)。初次手术后8周,II - V组分别有6/8(75%)、7/8(87.5%)、3/8(37.5%)、3/8(37.5%)成功形成精索静脉曲张,I组未观察到精索静脉曲张。I组、II组和III组未观察到病理变化,左肾重量与体重系数无显著差异。与I组相比,II组和III组的LSV直径均显著增加(分别为1.72±0.13、1.57±0.19和0.25±0.02),且II组和III组的睾丸重量低于I组大鼠(分别为1.67±0.05、1.62±0.06和1.92±0.12)。
采用新的夹闭技术,手术诱导精索静脉曲张大鼠模型变得方便且安全。这似乎提高了模型的有效性,并且这一创新可能使我们能够进一步了解精索静脉曲张的病理生理学。