主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2016, Vol. 39 ›› Issue (4): 341-343.doi: 10.3969/j.issn.1006-2157.2016.04.014

• 临床研究 • 上一篇    下一篇

精索静脉曲张性不育论治对策

秦国政   

  1. 云南省中医医院 云南 650021
  • 收稿日期:2015-11-26 出版日期:2016-04-30 发布日期:2016-04-30
  • 作者简介:秦国政,男,博士,教授,博士生导师

Treatment strategies for male infertility caused by varicocele

QIN Guozheng   

  1. Yunnan Provincial Hospital of Traditional Chinese Medicine, Yunnan 650021
  • Received:2015-11-26 Online:2016-04-30 Published:2016-04-30

摘要: 在分析近年中医或中西医结合治疗精索静脉曲张性不育存在问题或争议的基础上,以中医基础理论为指导,认为精索静脉曲张并不一定导致男性生育力下降,精索静脉曲张性不育的中医基本病理变化是精室血络瘀阻、血不化精,其基本治法为化瘀通络、活血生精,如果具备手术指征采用手术治疗时应该及时应用中医方法配合治疗,并应在分析治疗预后因素的同时围绕治疗的最终目的强化三因制宜,提高患者的治疗依从,避免治疗减效因素的影响,以期提高治疗效果。

关键词: 精索静脉曲张, 不育, 病因病机, 治疗方案, 手术指征

Abstract: Based on the recent literature linking varicocele to male infertility treated by Chinese medicine or intergrative medicine, guided by basic theory of TCM, the author thinks that varicocele is not bound to male fertility decline. According to TCM, infertility caused by varicocele is resulted from blood stasis in superficial venules of essence room, and blood fails to generate essece. The principal treatment is the method of removing blood stasis from meridians with promoting blood circulation to generate essence. The patients who have operation indications should undergo surgery, combined timely the TCM treatment. Furthermore, the physicians should engage in improving the curative effects by strengthening Three Categories of Etiological Factor System (San Yin Zhi Yi), improving the patients’ treatment compliance, avoiding the influences of unfavorable factors.

Key words: varicocele, infertility, pathogenesis, treatment trial, operation indications

中图分类号: 

  • R277.5