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精索静脉曲张:精索静脉曲张修复术对睾丸血流和温度影响的逆转。

Varicocele: reversal of the testicular blood flow and temperature effects by varicocele repair.

作者信息

Green K F, Turner T T, Howards S S

出版信息

J Urol. 1984 Jun;131(6):1208-11. doi: 10.1016/s0022-5347(17)50874-5.

DOI:10.1016/s0022-5347(17)50874-5
PMID:6726930
Abstract

An experimental left varicocele was created in the adult rat by partial ligation of the left renal vein. A varicocele repair was performed by high ligation of the internal spermatic vein. Testicular blood flow and temperature changes were measured in control and sham animals, animals 30 days after establishment of varicocele and animals 30 days after varicocele repair. There was a statistically significant (p less than or equal to 0.01) bilateral elevation of testicular blood flow and temperature in the varicocele group compared to control and sham groups. Varicocele repair returned these blood flow and temperature values to normal. Average testicular blood flow for control, varicocele, sham varicocele and varicocele repair animals were 29.6 +/- 1, 39.8 +/- 2, 30.7 +/- 1 and 29.8 +/- 1 ml. per min. per 100 gm. tissue, respectively. Testicular temperatures averaged 34.4 +/- 0.1, 35.3 +/- 0.2, 34.4 +/- 0.1 and 34.5 +/- 0.1 degrees C, respectively. It is possible that the elevation in blood flow is associated with the elevation of intratesticular temperature, which is known to impair spermatogenesis. The data support a relationship between the varicocele and potential testicular damage.

摘要

通过部分结扎左肾静脉在成年大鼠中制造实验性左侧精索静脉曲张。通过高位结扎精索内静脉进行精索静脉曲张修复。在对照动物、假手术动物、建立精索静脉曲张30天后的动物以及精索静脉曲张修复30天后的动物中测量睾丸血流和温度变化。与对照和假手术组相比,精索静脉曲张组的睾丸血流和温度在统计学上有显著的双侧升高(p小于或等于0.01)。精索静脉曲张修复使这些血流和温度值恢复正常。对照、精索静脉曲张、假手术精索静脉曲张和精索静脉曲张修复动物的平均睾丸血流分别为每分钟每100克组织29.6±1、39.8±2、30.7±1和29.8±1毫升。睾丸温度平均分别为34.4±0.1、35.3±0.2、34.4±0.1和34.5±0.1摄氏度。血流升高可能与睾丸内温度升高有关,已知睾丸内温度升高会损害精子发生。这些数据支持精索静脉曲张与潜在睾丸损伤之间的关系。

相似文献

1
Varicocele: reversal of the testicular blood flow and temperature effects by varicocele repair.精索静脉曲张:精索静脉曲张修复术对睾丸血流和温度影响的逆转。
J Urol. 1984 Jun;131(6):1208-11. doi: 10.1016/s0022-5347(17)50874-5.
2
Influence of surgically induced varicocele on testicular blood flow, temperature, and histology in adult rats and dogs.手术诱导的精索静脉曲张对成年大鼠和犬睾丸血流、温度及组织学的影响。
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Effects of varicocele after unilateral orchiectomy and sympathectomy.单侧睾丸切除和交感神经切除术后精索静脉曲张的影响。
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Repair of experimental varicoceles in the rat. Long-term effects on testicular blood flow and temperature and cauda epididymidal sperm concentration and motility.大鼠实验性精索静脉曲张的修复。对睾丸血流、温度以及附睾尾部精子浓度和活力的长期影响。
J Androl. 1986 Sep-Oct;7(5):271-6. doi: 10.1002/j.1939-4640.1986.tb00928.x.
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The effects of unilateral, experimental varicocele are not mediated through the ipsilateral testis.单侧实验性精索静脉曲张的影响并非通过同侧睾丸介导。
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Effects of experimental varicocele require neither adrenal contribution nor venous reflux.实验性精索静脉曲张的影响既不需要肾上腺参与,也不需要静脉回流。
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Testicular blood flow in peripubertal and older rats with unilateral experimental varicocele and investigation into the mechanism of the bilateral response to the unilateral lesion.青春期前及成年大鼠单侧实验性精索静脉曲张时的睾丸血流情况以及对单侧病变双侧反应机制的研究。
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Microsurgical rat varicocele model.大鼠精索静脉曲张显微模型。
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Effects of surgical repair of experimental left varicocele on testicular temperature, spermatogenesis, sperm maturation, endocrine function, and fertility in rabbits.
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Surgical repair of secondary right varicocele in rats with primary left varicocele: effects on fertility, testicular temperature, spermatogenesis, and sperm maturation.
Arch Androl. 1992 Jan-Feb;28(1):43-52. doi: 10.3109/01485019208987679.

引用本文的文献

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The Evolving Landscape of Male Varicocele Pathophysiology in the Era of Multi-Omics: A Narrative Review of the Current Literature.多组学时代男性精索静脉曲张病理生理学的演变态势:当前文献的叙述性综述
Biology (Basel). 2024 Jan 28;13(2):80. doi: 10.3390/biology13020080.
2
Role of Oxidative Stress in Varicocele.氧化应激在精索静脉曲张中的作用。
Front Genet. 2022 Mar 23;13:850114. doi: 10.3389/fgene.2022.850114. eCollection 2022.
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Oxidative Stress: A Comprehensive Review of Biochemical, Molecular, and Genetic Aspects in the Pathogenesis and Management of Varicocele.
氧化应激:精索静脉曲张发病机制与治疗中生物化学、分子及遗传学方面的综合综述
World J Mens Health. 2022 Jan;40(1):87-103. doi: 10.5534/wjmh.210153. Epub 2021 Oct 13.
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Artificial Neural Network to Predict Varicocele Impact on Male Fertility through Testicular Endocannabinoid Gene Expression Profiles.人工神经网络通过睾丸内源性大麻素基因表达谱预测精索静脉曲张对男性生育力的影响。
Biomed Res Int. 2018 Nov 13;2018:3591086. doi: 10.1155/2018/3591086. eCollection 2018.
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Varicoceles in the pediatric population: Diagnosis, treatment, and outcomes.儿科人群中的精索静脉曲张:诊断、治疗及结果
Can Urol Assoc J. 2017 Jan-Feb;11(1-2Suppl1):S34-S39. doi: 10.5489/cuaj.4340.
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Varicocele and its effect on testosterone: implications for the adolescent.精索静脉曲张及其对睾酮的影响:对青少年的意义。
Transl Androl Urol. 2014 Dec;3(4):413-7. doi: 10.3978/j.issn.2223-4683.2014.12.07.
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Large bowel infarct following antegrade scrotal sclerotherapy for varicocele: A case report.精索静脉曲张顺行阴囊硬化治疗后发生大肠梗死:一例报告
Can Urol Assoc J. 2014 Sep;8(9-10):E641-3. doi: 10.5489/cuaj.1822.
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Molecular mechanisms involved in varicocele-associated infertility.精索静脉曲张相关性不育的分子机制
J Assist Reprod Genet. 2014 May;31(5):521-6. doi: 10.1007/s10815-014-0200-9. Epub 2014 Mar 19.
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Morphological and surgical overview of adolescent testis affected by varicocele.精索静脉曲张影响下的青少年睾丸的形态学与外科概述
ScientificWorldJournal. 2013 Nov 20;2013:469413. doi: 10.1155/2013/469413.
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Insight into oxidative stress in varicocele-associated male infertility: part 1.精索静脉曲张相关男性不育症中氧化应激的研究进展:第 1 部分。
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