Sksdu Health Blog

　　Every fine rope varicosity not obvious symptom and has the normal birth, does not have to treat generally.The surgery is suitable for symptom obvious, either long marriage sterile or seminal fluid unusuality, regardless of then the symptom weight needs the surgery to treat.

　　The surgery way may pass through the inguinal canal to tie up Qu Zhang in the fine rope the vein, also may pass through above the inguinal canal inner rim to tie up Qu Zhang the vein.About ties up the fine rope varicosity treatment sterility the effect, group of 986 example 12 year observation discoveries, after the surgery makes a follow-up visit above for 2 years, the seminal fluid improvement occupies 70%,53% wife pregnancy.Statistics proved the seminal fluid in front of the surgery the sperm > 10,000,000 /ml surgery effect surpasses is lower than 1 surely /ml.After the sperm number > 10,000,000 /ml surgeries the seminal fluid improvement reaches 85%, after in front of the rate of pregnancy 70%. techniques the sperm number < 10,000,000/ml surgeries the seminal fluid improves 35%, the rate of pregnancy 27%. if simultaneously presses the gonadotrophic hormone treatment using the chorion, then the seminal fluid improvement may rise to 55%, the rate of pregnancy reaches 45%. to count in every seminal fluid not to have the sperm generally, although and does not have the effect after the treatment.

Quite fine rope varicosity is refers to the fine Sowrey’s vein the backflow to be blocked, but appears coils the expansion.Is young adults’ common disease, sees in left side, majority can change the seminal fluid and cause the sterility.Symptomless mild fine rope varicosity does not have to treat.

　　The common method of treatment may divide into:

　　The non-surgery treats

the fine rope varicosity or is accompanied by the neurasthenia to be possible to hold the scrotum, the cold compress and so on.

　　The surgery treats

the heavy fine rope varicosity, the sperm number continual three times or has the testicle atrophy below 20,000,000; The horizontal folk-tunes of a region open the vein to be possible vanishing, the feasible surgery treats.

　　Fine rope varicosity micro creates the top digit ligation

is on international treats the fine rope varicosity to cause the sterility the mature technology.The surgery only must open two 1.0-2.0 centimeter about small margins in the abdomen, guarantees the surgery complication to have the probability to receive the active control, reduces the threshold.In addition, after the small margin had guaranteed the technique restores quickly, the success ratio is higher, the patient may get out of bed the activity in the same day.

　　The surgery treats the indication: Heavy fine rope varicosity, the sperm number continual three times or have the testicle atrophy below 20,000,000; The horizontal folk-tunes of a region open the vein to be possible vanishing, in feasible fine rope vein top digit ligation.

　　After the technique nurses:

　　1. The attention maintenance has ease of mind, envies violent anger wound liver, the attention diet adjustment, avoids certain foods the pungent thing.

　　2. The attention alternates work with rest, prevents the strenuous exercise, the heavy physical labor and the long station.

　　3. Controls the sexual intercourse, puts on the tight-fitting underpants frequently or holds with the scrotum to guard against under the scrotum to fall.

　　Peritoneoscope fine rope varicosity top digit vein ligation

peritoneoscope fine rope varicosity top digit vein ligation.This method compared with formerly the classical surgery method has several merits:

　　(1) may clearer see the blood vessel using the enlargement lens the structure, therefore can the simpler distinguishable fine rope vein and the fine rope artery, prevented damages these structures;

　　(2) carries on the thorougher surgical department separation and the fine rope vein collateral branch ligation, reduced the recurrence rate;

　　(3) regarding the two-sided fine rope varicosity, the peritoneoscope surgery has avoided the second surgery margin, and reduced the surgery time.

　　(4) in the peritoneoscope surgery, pulls with the hand pulls the testicle to be possible to help to be clear about passed through the inner rim the fine rope blood vessel and the parallel vein.

　　After (5) technique the seminal fluid quality improvement surpasses the traditional surgery.

　　After the technique nurses

in the ordinary circumstances, the patient regains consciousness after the anaesthesia then restores the diet, completes the same day at the surgery, may leave the hospital, oral administration mitigative and antiphlogistic then.Patient in surgery latter surroundings hospital subsequent visit.Regarding the sterile male, the technique latter 4 weeks start, latter each gap in March inspects the seminal fluid to appraise the surgery the response.

　　The fine rope varicosity involvement treats

this method is the vein pours into embolism like gelatin sponge, the spring wire or the hardening agent through the drive pipe selectivity or the ultra selectivity to the fine rope in and so on achieved the unenlightened tune opens the vein the goal.Tremie method tremie method embolism treats in the fine rope varicosity to compare the traditional surgery ligation not to have the surgery, the expense few and the pain small and so on the merits.

At present, the vein and the sterile treatment has still not had the prominent curative effect medicine to the fine rope in, although certain medicines the promotion seminal fluid quality improvement and enhances the fertility around, but also merely was treats at the surgery takes the auxiliary method.But the surgery is the recognition treatment fine rope varicosity only effective method, may eliminate the part which disease brings to fall zhang and the ache is ill, and improves the seminal fluid quality.

　　Some doctors in determined fine rope varicosity treatment as well as when choice method of treatment acts according to individual understanding and the clinical experience frequently, but in the practical work, the choice surgery treats should follow certain principle.The surgery treats the main indication includes: Fine rope varicosity causes the trouble side to fall zhang the ache to be ill obviously, the patient cannot enduring; Fine rope varicosity creates the testicle to live the fine function barrier, the seminal fluid quality carries on the drop, and has affected the masculine birth.

　　Commonly used surgery method including open style surgery, peritoneoscope surgery and embolism hardening therapy.The open style surgery including after the inguen under, the inguen and the retroperitoneal ties up in the fine rope the vein.The peritoneoscope surgery was the recent years develops micro creates the method, did not need to operate, only hit 3 eyelets in the abdomen and carries on the operation, observed on the television display monitor, might complete the surgery process, the treatment failure rate is low, the surgery and in hospital time had the reduction, especially regarding two-sided fine rope varicosity, extremely effective.

　　Treats the fine rope varicosity, chooses doctor

because fine rope varicosity brings to the male the worst influence is gives birth the function forfeit, therefore, generally speaking, chooses some reproduction to help is pregnant the faculty to carry on the fine rope varicosity the treatment to be appropriate, certainly, also not all is so, some hospital uropoiesis surgical department (male branch) the expert the attainments quite is also deep at in the fine rope varicosity treatment, for example Guangzhou Chinese medicine University first affiliated hospital Cui studies teaches professor, Professor Zhou Shaohu, a Zhongshan courtyard Deng spring Professor Hua, south south medical college hospital wool to Professor Ming.Other, the Guangdong Province women’s and children’s dispensary forest flies the great wild goose, Director Xiao Zonghui, Guangzhou Military region General hospital’s Doctor Chen Yun huge mythical bird, Zhongshan University attached second hospital uropoiesis surgical department Yellow Sea Doctor, also all is in this the eminent, receives quite a part of net friend’s high praise.

　　Slightly arranges something to be talked about later

actually, regarding sterile, treats the fine rope varicosity only then to make surgery this means not necessarily.Many sterile male treat the fine rope varicosity the goal only then: “Makes the human”.Treats the fine rope varicosity regarding these choice surgery not to restore the nature birth nearly the possibility, but some ages greatly need to solve the birth question patient as soon as possible in particular, chooses the laboratory technology, for example the test-tube baby, the artificial insemination solution birth question should not be difficult.

　　Modern birth technology, so long as has a sperm to be possible to compose a person, even if is the serious masculine sterile patient also mostly may realize the manner parents’ desire.The present test-tube baby technology already became many big hospitals the conventional technologies, the treatment success ratio is being steady and rising, the domestic success ratio already achieved 30%~40%, unified the embryo freezing and so on the new technology, enabled each treatment cycle the success ratio to have a bigger enhancement.Moreover, a time is not successful, but also may carry on once more so long as perseveres, decides has “makes the human” success one day.

In the middle of the masculine disease, said the erection function barrier, the premature ejaculation, the possible person completely all to know, but must mention fine rope varicosity, did not have how many people to hear, actually, it also was the male branch disease one kind, and has the enormous destructive effect to the masculine birth.Because fine rope varicosity is refers to fine rope pampiniform vein Cong Yinge to plant the reason to cause the backflow impeded or the valvulae venarum damage causes the blood to flow backwards forms the partial phlebcctosis, in and out, the elongation pathology phenomenon.In the life, some male may trace in the scrotum to a group strip rope type thing, some people can describe “the earthworm vermiform”, “the fish roe shape” and so on the pouches may compress, serious may be direct “looked” partial falls full to the scrotum zhang, actually, this is the fine rope varicosity model attribute.

　　In the masculine crowd, the average disease incidence rate is 15%

expert indicated that, fine rope varicosity will be the 15%(8%-23%),6-9 year old later very little is taken bad in the masculine crowd’s average disease incidence rate, 12 year old of later disease incidence rate obvious increase, but after 18 years old, will not have the obvious increase actually along with age growth its disease incidence rate.Therefore the youth man good has this sickness, possible to make the blood circulation because of the puberty testicle growth to increase obviously, in this section of age the ual excitement specially is specially exuberant, the reproductive organ assumes the reflective hyperemia condition because of the natural stimulation, the fine rope vein also easy to have the blood to be pent-up.

　　In the past believed that, left side the fine rope varicosity disease incidence rate is 78%-93%, right flank fine rope varicosity is between 1%-7%, two-sided fine rope varicosity is 2%-20%, however, in recent years along with the diagnosis technology enhancement as well as clinician to the value which should get sick, the two-sided fine rope varicosity disease incidence rate report more and more was also high, fine rope varicosity was higher than the general male obviously in the sterile masculine disease incidence rate, thought generally compared to normal person’s disease incidence rate big 3 times, the literature material demonstrated, the fine rope varicosity partner sent the seminal fluid quality changer to reach as high as 54.8%.

　　Fine rope varicosity, the most tremendous influence is the sterile

fine rope varicosity patient in stands, the scrotum swells, some heavy and falls zhang feeling, serious when even has the ache symptom which the downward abdomen, the inguen or the thigh emit, stands walks time aggravates.But does not take an ache more is obvious, the condition is more serious.The clinical symptom and the fine rope varicosity degree may not be inconsistent, some patient’s tune opens the degree to be extremely serious, may actually not any symptom.But some patient’s tune opens the degree to be slight, may have quite seriously actually falls the pain, loses sleep, the anorexia, dizzy and so on the symptoms.

　　Because fine rope varicosity can produce obviously to the testicle affects not good, may create the masculine seminal fluid quality to be unusual, the fine rope varicosity partner sends the seminal fluid quality unusuality reaching as high as 54.8%, and therefore affects the masculine birth ability.Guangdong Province second people hospital reproduction medicine discipline peace Tao indicated that, achieves 39% in the masculine sterile fine rope varicosity formation rate, but reaches as high as 60%~70% in the sequential sterile formation rate.

　　Fine rope vein radiography, most reliable diagnosis method

although diagnoses the fine rope varicosity including a series of physical method, the scrotum thermography, the Doppler supersonic auscultation law, the isotopic examination, the seminal fluid inspection, the testicle biopsy and so on many kinds of, but the fine rope vein radiography law was still considered was the present most reliable method, in the selective fine rope the vein radiography, can make the diagnosis in particular to the Asian clinical fine rope varicosity.Not only may understand fine rope varicosity the existence and the degree, understand the fine rope vein the dissection variation, but also may decide whether is suitable the surgery or embolism treats.

　　The fine rope vein radiography law may pass three ways generally: After the stock vein, in the scrotum vein and the technique under looking straight ahead the radiography, in which by passes through the stock vein intubation to enter in the kidney vein or the selective fine rope the vein radiography effect is most ideal.But, because the fine rope vein radiography law is one kind of damage inspection, only then the clinical examination and the Doppler supersonic inspection all with difficulty determined concealment fine rope varicosity or the seminal fluid quality bad patient only then are suitable use.In addition, the seminal fluid routine inspection extremely is also essential.Generally speaking, fine rope varicosity inspection expense about 300-500 Yuan.

Is not by no means all fine rope varicosity patients all may use the surgery to treat, must first again act according to individual concrete condition after some special inspection method precise diagnosis to determine uses what method of treatment, on the clinical commonly used inspection method has the Doppler colored supersonic diagnostic equipment, infrared or the contacting scrotum temperature measurement, B ultra or in the fine rope the vein radiography technique and so on.After the fine rope varicosity patient good ligation Qu Zhang the fine rope vein vanishing or changes few, the seminal fluid routine inspection activity, the vigor and the sperm number reach the normal range, clinical symptom vanishing.The fine rope varicosity patient wants certainly to follow following surgery to adapt the card and the contraindication, in order to avoid own suffer the body and mind once more the wound:

　　1st, indication

1) fine rope varicosity sterile, the existence seminal fluid inspection is unusual, the medical history and the physical examination had not discovered other influence birth disease, the endocrine inspection is normal, the bride’s side fertility inspection does not have the unusual finder, regardless of fine rope varicosity weight, once so long as fine rope varicosity diagnoses is established, should the prompt surgery.

　　2) specific weight fine rope varicosity is accompanied by the obvious symptom, after like stands is the feeling scrotum falls the painfully swollen and so on, the physical examination discovered the testicle reduces obviously, even if had the birth, the patient has the treatment desire also to be possible to consider the surgery.

　　3) clinical observation discovery prostatitis, cystospermitis in fine rope varicosity patient disease incidence rate obvious increase, for normal person’s two times, if therefore the above two sickness also exist, moreover prostatitis long treatment not, also advocated undergoes the fine rope varicosity surgery.

　　4) regarding young people time fine rope varicosity, because often causes the testicle pathology gradual change, therefore at present advocated is accompanied by the testicle volume reduction to the young people time fine rope varicosity to be supposed the surgery to treat as soon as possible, is helpful grown-up after the prevention sterile.

　　5) regarding the mild fine rope varicosity patient, like the seminal fluid analysis is normal, should the regular revisit, once appears the seminal fluid analysis exceptionally, the testicle reduces, the quality of material changes soft should the prompt surgery.

　　2nd, contraindication

1) sequential fine rope varicosity.

　　2) primary fine rope varicosity if the lateral support backflow has the lateral support to return flowing not good

　　Fine rope varicosity belongs to the Chinese medicine “the muscle lump” the scope, its morbidity reason in many ways: Because tired excessively, flesh wound veins, so that stagnates the veins; Because or the hepatorenal insufficiency, the vein loses raises; Because or prolonged stands, so that the blood vessels disagreement, the vitality loses popularly smoothly, hinders in the muscle vein road; Because or the hot and damp evil knot gathers, may make becomes a ghost rope varicosity.

　　This gets sick sees in 20~30 year-old masculine youth.Fine rope varicosity, general good sends in left side, because is in the fine rope the pampiniform vein clump the blood backflow is impeded, blocking winds said, so that the partial phlebcctosis, is curving, is elongated.Light does not have any symptom, heavy because the vein ecchymosis expands stimulates the fine rope nerve, makes the scrotum to swell, under falls with the ache, the testicle or the lower abdomen pulls out the pain, and so on place diffuses to the perineum and the inguen, serious can affect the birth, must treat promptly.

　　Presently divides discusses governs as follows:

　　Pours from the top the fine rope varicosity hot and damp: Patient scrotum skin scalding hot micro red, after the work is swollen and painful the aggravating, the rest afternoon alleviates, has falls zhang the feeling, pinches the ache, left side the fine rope is thick, varicosity like earthworm vermiform, the tongue substance is red, liver moss yellow greasy, arteries string number.Governs the suitable sparse liver to relieve congestion, the refrigeration advantage is wet.Prescription: Artemisia capillaris 30g, finger citron, litchi chinensis nucleus, Huang Pihu, fruit of melia toosendan each 12g, ilex macropoda 9g, licorice 5g.Shui Jian divides 3 clothing.

　　Hepatorenal empty owes fine rope varicosity: The patient scrotum is tumescent, the lower abdomen pulls out the pain, stands when or the tired postemphasis, may see a fine rope pampiniform vein clump of expansion, be curving, to be elongated.The horizontal time testicle or the lower abdomen pull out the pain to reduce, Qu Zhang the vein reduces or vanishing, serious does not vanish, the lumbago, dizziness, the fear is cold, four limbs not warm, the scrotum is cold, sexual impotence, premature ejaculation target=_blank> premature ejaculation target=_blank> premature ejaculation and so on, tongue substance pale red, the liver moss are few, the arteries are thin.Governs suitably nutritious hepatorenal, dispels symptoms such as bloating the blood circulation.Prescription: Ripely 15g, mountain cornus, fruit of the Chinese wolfberry, lindera strychnifolia, Chinese angelica, Chinese cynomorium, root of herbaceous peony each 10g, Eucommia, boschiniakia glabra, salvia miltiorrhiza each 12g, dill, licorice each 6g.Shui Jian divides 3 clothing.

　　Some clinical symptoms which fine rope varicosity is refers to which a fine rope pampiniform vein clump of expansion, the elongation, in and out form the scrotum vascular tumour and causes from this.The symptom causes which by fine rope varicosity itself is not often obvious, but the patient is short very much because of the pure fine rope varicosity to the hospital seeing a doctor, many is when the physical examination perhaps the sterility inspection only then discovers this sickness.Therefore, these people treat the fine rope varicosity the goal, actually treats the sterility, must increase the sperm in particular quantity, enhances the sperm the survival percentage and improvement sperm’s energy, finally enhances the conception rate. 　　

　　But, on clinical discovered, even if many patients have undergone the fine rope varicosity surgery, the seminal fluid quality improvement condition still not entirely as desired, sometimes the sperm vigor and quantity even compare in front of the technique to be worse.Therefore, discovers the reason, takes the corresponding effective action, improves patient’s seminal fluid quality, is the treatment main purpose.

　　Case of illness: Mr. Zhang is a fine rope varicosity patient, a year ago after marries many years sterile to make the inspection, at that time sperm quantity only then 8,000,000/milliliter, survival percentage only then 20%, vigor by C level primarily.Inspects after scrotum Doppler, discovered the two-sided fine rope vein 2 levels of tunes open, in hospital has made in the two-sided fine rope the vein top digit ligation.In the technique latter year, has made many times the seminal fluid routine inspection, maintains the original condition basically, the seminal fluid changes not obviously. 　　

　On clinical Mr. Zhang such patient, diagnoses likely for the fine rope varicosity rests on fully, in the fine rope the vein top digit ligation surgery process is smooth, after the technique the margin cicatrization is good, even is scrotum Doppler to reexamine, in the scrotum Qu Zhang, the distortion vein already obtained the full alleviation and the restoration.Why but has cured the fine rope varicosity, cannot enable the patient to achieve the treatment goal truly?

　　The young surgery effect is good 　　

　　Fine rope varicosity causes the seminal fluid drop in quality the pathology foundation is: Partial blood siltation, hyperpyrexia, toxin siltation and absorption, as well as metabolism, trophopathy, changes and so on reproduction internal secretion hormone.The fine rope varicosity maintenance time is longer, the testicle lives the fine function damage to be more serious, is more difficult to restore to the normal state.Therefore, advocated at present in the medicine that, every is the fine rope varicosity patient, lives the fine function in the testicle not yet to achieve restores with difficulty in the situation should the surgery, fundamentally improve the injury testicle to live the fine function as soon as possible in environment, after favors the surgery the seminal fluid quality improvement.Generally speaking, the age is more young, after the technique the seminal fluid quality improvement situation is better; The age is bigger, the surgery effect is also worse. 　　

　　The surgery quality is not good also affects the treatment result 　　

　　After every is the fine rope varicosity technique patient, all should make the inspection, examined in the scrotum the tune opens the situation which the vein withers, when the necessity makes the color high grade inspection, by definite surgery effect.If after the technique scrotum partial varicosity were still obvious, had to consider leaked gripped or the pure ligation effect unsatisfactory possibility, suggested once more the surgery, and adopted technique types and so on top digit ligation or divergence according to the different situation.

　　Seminal fluid reexamination opportunity choice not when easy to mislead the patient 　　

　　Sperm growth mature need certain time.Generally speaking, from the spermatogonia growth for the mature sperm, this cycle probably needs 75 day, therefore, must certainly in the technique latter 3 months, be able to observe the seminal fluid quality the improvement situation.Premature carries on the seminal fluid inspection possibly to appear misleading. 　　

　　In the fine rope the vein top digit ligation surgery can cure the fine rope varicosity, this is without a doubt.But the surgery cannot relieve the patient completely the testicle pathology, physiological and the dissection aspect change which as a result of changes and so on metabolism, trophopathy, reproduction internal secretion hormone causes.The surgery is not multi-purpose, after the technique also must coordinate the internal medicine department to treat, even the Chinese medicine dialectical treatment, to improves the seminal fluid quality to be able to produce the quite tangible results.

At present, the vein and the sterile treatment has still not had the prominent curative effect medicine to the fine rope in, although certain medicines the promotion seminal fluid quality improvement and enhances the fertility around, but also merely was treats at the surgery takes the auxiliary method.But the surgery is the recognition treatment fine rope varicosity only effective method, may eliminate the part which disease brings to fall zhang and the ache is ill, and improves the seminal fluid quality.

　　Some doctors in determined fine rope varicosity treatment as well as when choice method of treatment acts according to individual understanding and the clinical experience frequently, but in the practical work, the choice surgery treats should follow certain principle.The surgery treats the main indication includes: Fine rope varicosity causes the trouble side to fall zhang the ache to be ill obviously, the patient cannot enduring; Fine rope varicosity creates the testicle to live the fine function barrier, the seminal fluid quality carries on the drop, and has affected the masculine birth.

　　Commonly used surgery method including open style surgery, peritoneoscope surgery and embolism hardening therapy.The open style surgery including after the inguen under, the inguen and the retroperitoneal ties up in the fine rope the vein.The peritoneoscope surgery was the recent years develops micro creates the method, did not need to operate, only hit 3 eyelets in the abdomen and carries on the operation, observed on the television display monitor, might complete the surgery process, the treatment failure rate is low, the surgery and in hospital time had the reduction, especially regarding two-sided fine rope varicosity, extremely effective.

The small strong this year 12 years old.A day daddy leads him to swim, changes clothes when discovered accidentally the small strong left side scrotum lowers right flank also is bigger than.Small strong said that, this kind of phenomenon already had more than a year, although in the heart somewhat was afraid, but embarrassed and others said.The daddy is unable to restrain to worry, associated last year just to undergo the hernia surgery, could the son also hernia?

　　Next day, the daddy hurried to pull small strong is going to the hospital, surgical department’s doctors for small does has inspected and tells them, slightly resulted in sickness was not a hernia, but was fine rope varicosity.He suggested small strong looks at the uropoiesis surgical department.

　　After the uropoiesis surgeon’s inspection, confirmed small indeed has contracted the fine rope varicosity sickness, moreover moderate (Ⅱ) Qu Zhang.

　　Any is fine rope arteries Doctor Qu Zhangzheng

said in man’s scrotum, about nearby two has one respectively by the vas deferens, the artery, the vein blood vessel and so on the strip funicular organization which is composed, in the medicine called it the fine rope, the fine Sowrey surface vein is called the fine rope vein.Because in the dissection structure characteristic, as well as the masculine physiological growth and so on the various factorss, the fine rope vein blood vessel easy ecchymosis to expand, forms the earthworm vermiform the vein group, this is called the fine rope varicosity.Left side fine rope vein change morbidity.

　　The fine rope varicosity adult gets sick by no means

because at the beginning of trouble fine rope varicosity obvious illness, has not added the youth often the foreign reproductive organ pathological change to shame in the inquiry or goes see a doctor, therefore many appears the scrotum after grown-up to fall ill zhang, the outward appearance unsatisfactory, because or causes the sterility only then to receive a medical examination discovered, often was considered is the adult gets sick.

Actually, fine rope varicosity already started from the child and the young people time, moreover achieved the morbidity peak in the puberty.According to the recent years medicine scientific research discovery, fine rope varicosity might start to 6 years old to be taken bad early, achieved the peak to 11 years old of – 17 years old, the disease incidence rate might reach about 20%, was higher than the adult 12% disease incidence rate.

　　Obviously fine rope varicosity incompletely is the adult gets sick.According to doctor analyzes, the adult disease incidence rate is lower than the puberty disease incidence rate the reason, possibly has part of young people its varicosity to be possible not to govern the self-recovery after grown-up.

　　Which does fine rope varicosity have to harm

the trouble fine rope varicosity to be possible to cause partial ill, displays falls for the scrotum place zhang and pulls pulls the pain, stands and moves when obviously, the bed may reduce.Because also may patient’s worry and the anxious partner goes crazy feebly, causes the mood unusual, the asthenia, loses sleep and so on.Has the above illness only to occupy about fine rope varicosity patient’s 1/3, majority patient not any symptom.

　　A fine rope varicosity more serious harm by the patient sensation, this is not to the masculine birth influence.According to the medicine statistics, probably has about 2/3 at in the trouble fine rope varicosity man to be able to have the seminal fluid to be unusual, an in which quite part may cause sterile.

　　Causes the masculine sterile reason about the fine rope varicosity to have wide divided opinions, approximately some two primary factors.

　　First: Because the venous blood stasis stagnates, causes the testicle the temperature increment.We knew, the human body sperm’s occurrence and the growth all needs to be lower than 37℃ the temperature, this also is precisely human’s testicle grows outside the body cavity reason.Fine rope varicosity may cause the testicle temperature average rise 0.6℃ about, therefore disturbed has lived the fine ability.

　　Second: The venous blood stasis stagnated has affected the testicle metabolism, caused the partial oxygen deficit, metabolism waste siltation, poisoned the testicle the fresh sperm cell and the sperm, as well as suppression androgen ── gao alkone production.

　　Two big factor common consequences, cause the patient sperm quantity to decrease, energy is low, the abnormal sperm increases, therefore may cause sterile.

　　Actually, the fine rope varicosity discovery is not difficult, first should understand this sickness for the elementary school higher grades and middle school boy’s common disease, young people or the guardian may carry on the inspection regularly.

　　1st, has a look when the erectness scrotum whether contour, whether on the scrotum wall can see the earthworm vermiform the vein group.Can see the vein group moreover one side scrotum to be lower than the opposite side to be possible to diagnose for the fine rope varicosity.

　　2nd, if from seemingly blind scrotum obvious change, but may trace along the scrotum flank to the vein group.

　　3rd, the patient holds one’s breath (increases abdomen to press) can trace to the vein group also is the fine rope static animal fat tune opens.

　　When the judgment is unclear also has the suspicion, should arrive the hospital to ask faculty doctor to diagnose.

　　Fine rope varicosity may divide into lightly, the specific weight three levels, because with treatment plan choice related, therefore should pay attention distinguishes.

　　After the preceding text mentions holds one’s breath only then may trace to the vein group is lightest, decides doesⅠLevel; But blind traces the vein group next best, is calledⅡLevel; But can see with the naked eye the vein group is heaviest, decides asⅢLevel.

　　Also has doctor to trace with the hand to the vein group’s diameter differentiates the weight, the concrete standard is smaller than 1 centimeter for the vein group to do surelyⅠLevel; Is called the centimeter to 2 centimeters betweenⅡLevel; Is bigger than 2 centimeters to decide asⅢLevel.

　　Both must take and not to need extreme nervousness

fine rope varicosity although is youth development period common disease, but the disease incidence rate only then about 20%, the overwhelming majority young people do not need after all ” extreme nervousness “, the everybody feels insecure.Most abstains from is self-” hypochondria “, also shames in the seeing a doctor, creates is not the unnecessary pressure and the mood detuning completely.

　　Even if contracts the fine rope varicosity, also does not need to worry excessively, because has about 1/3 adult patients to a half young people patient to be possible the self-recovery, moreover also by no means contracts this sickness certainly to be able to affect the birth, in fact the fertility is affected is only a this sickness patient’s small part.

　　That, how should manage after the inspection diagnosis for the fine rope varicosity young people?

　　The fine rope varicosity method of treatment for carries on the surgical operation to serve with the top digit ligation or the blood vessel turns, other measures basically do not have the effect.In view of the fact that the surgery has 100% success ratio by no means as well as also possibly has certain situations and so on complications or illness recrudescence, therefore, as soon as discovered fine rope varicosity treats on the decision surgery is obviously rash.

　　Should follow the principle is:ⅠLevel fine rope varicosity, should every year reexamine one time;ⅡThe level should observe closely, asks doctor to inspect every half year one time, has the obvious development to have to consider the surgery treats;ⅢLevel fine rope varicosity should ask faculty doctor to inspect, early surgery.Moreover, contracts, the specific weight fine rope varicosity child, the youth also should make ” B according to doctor’s request the ultra ” inspection, verifies or removes the oppression fine rope vein which in vivo possibly exists to cause its backflow barrier the pathological change.

　　Needs to point out, takes a drug to treats the fine rope varicosity to be invalid.If wants to seek the non-surgery the preventing and controlling method, may try to take following measure.One is a self-made similar woman sanitary belt type quality of material soft request belt, usually picks up the scrotum, improves the vein stopped up and partial ill.Two is the young people swims or takes the cold bath to be possible frequently to cause the scrotum temperature decrease.

Typical case of illness: 27 year-old young Zhao four months divorced this year, but the blasting fuse is fine rope varicosity this lets his sterile sickness.5 years ago, the body has married for only son’s young Zhao, after the marriage, the young Zhao’s parents all were hoping hugs the grandson, but more than four years have passed by, the young Zhao wife has still not been pregnant, looked up many times, the wives do not have the question, in under the young Zhao parents’ hope, the wife has withstood the very tremendous pressure.This April, young Zhao first time goes to the hospital inspection proof, cannot be pregnant is not wife’s question, but was young Zhao fine rope varicosity.Soon, young Zhao and the wife divorced.Hereafter, young Zhao has accepted the surgery treatment, after the merely half hour, says goodbye with the fine rope varicosity.

　　The disease incidence rate reaches as high as 11% mentions the fine rope varicosity, very many residents are not very familiar.Actually, in man’s scrotum, about nearby two has one respectively by the vas deferens, the artery, the vein blood vessel and so on the strip funicular organization which is composed, in the medicine called it the fine rope, the fine Sowrey surface vein is called the fine rope vein.Because in the dissection structure characteristic, as well as the masculine physiological growth and so on the various factorss, the fine rope vein blood vessel easy extravasated blood to expand, forms the earthworm vermiform the vein group, this is called the fine rope varicosity.Fine rope varicosity is masculine common uropoiesis disease, the general young male 10% has this symptom approximately.

　　Fine rope varicosity is divided three degrees, mild when partially does not touch the vein which the tune opens, only is the patient feels ill; When moderate, the patient stands when may touch Qu Zhang the vein, but semblance blind; When specific weight, the scrotum department may see the tune opens the vein assumes the earthworm vermiform, the group shape.

　　The male sterile has the chief culprit

because fine rope varicosity also is the masculine sterile principal factor, some 30% sterile patients all have suffered from the fine rope varicosity approximately.When fine rope varicosity, some 50%~80% patient seminal fluid inspection is not approximately normal, displays are few for the sperm number, the activity is low, the shape is not normal.Fine rope varicosity causes the sterile reason to include: When fine rope varicosity because in the fine rope vein the blood stopped up, may cause in the scrotum the temperature to advance, the testicle temperature may elevate 1℃~2℃, the temperature continues the long-term markup, may affect the testicle to produce the sperm, causes without the sperm sickness and the few sperms sickness; Simultaneously the epididymis high temperature environment does not favor the sperm the maturity.

　　Moreover, the long time sits soft chairs and so on sofa also easily to cause the fine rope varicosity, then influence birth.Humanity’s original sitting posture, is by the ischium two tubercles took the center of resistance, the scrotum with ease was hanging by now between two thighs, however sat when the sofa or other soft chairs, the original settlement of support, the entire buttocks fell into in the sofa, the sofa filling material and the superficial needed materials could surround, oppression scrotum, when the scrotum received the oppression, the vein backflow was impeded, testicle nearby blood vessel thickening, extravasated blood serious when could cause the fine rope varicosity, the patient to be able to appear under the testicle to fall heavily, got down symptoms and so on abdomen dull pain.By now, as a result of the blood stopped up, the fine rope vein internal pressure advanced, the oxygen and the nutrients lacked, affect the metabolite the elimination, thus influence spermatogenesis and mature.

　　Felt how ill this

surgery fine rope varicosity should treat? Bo Yingbo said that, mild may treat conservatively, namely through the rest, puts on the tight-fitting underpants, reduces the strenuous exercise, the suitable use blood circulation medicine and so on treats, but, the specific weight either is accompanied by sterile or the seminal fluid unusual, is must undergo the surgery.

　　Because fine rope varicosity, causes the blood backflow to be blocked, creates the testicle the blood circulation barrier, causes the testicle the fresh essence and the secretion function cannot carry on normally, the long time may cause the testicle the atrophy, loses all functions.

　　Director Bo Yingbo introduced that, this kind of surgery is not complex, only needs for half hour to be possible to complete, not only does not have the pain, the patient 23 days to be possible to leave the hospital.The young people have such symptom especially, wants the prompt surgery to treat, in order to avoid causes the reproductive organ maldevelopment.