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一些有关资料说明睾丸下降不全患者在出生两岁以后,其睾丸功能和组织学损伤随年龄增长而加重,为了制止生精功能的进一步损害和减少生精能力的丧失应该尽早进行手术治疗。虽然以往曾有资料对精子密度和手术年龄的相互关系进行研究,但对患者详细的生育状态仍存在着争论,作者为了估计患者的潜在生育能力,用估计精子密度和精子活动力以及睾丸活检后生精管病变Johnsen;s积分等方法,对274例18—39岁睾丸下降不全患者进行了回顾性调查。将病人分为四组,第一组61例病人进行双侧睾丸下降固定术;第二组149例病人行单侧睾丸下降固定术;第三组26例行单侧睾丸切除;第四组38例为未行外科处理的单侧睾丸下降不全者。第一至三组根据手术时的年龄再分成性成熟前期(2
Some relevant data show that patients with testicular dysfunction after birth two years of age, testicular function and histological damage aggravated with age, in order to stop further deterioration of spermatogenic function and reduce the loss of spermatogenesis, surgery should be as soon as possible. Although there have been previous data on the correlation between sperm density and the age of surgery, there is still debate about the patient’s detailed fertility status. To estimate the patient’s potential fertility, the authors used estimates of sperm density and sperm motility and post-testicular biopsy Spermatogenic lesions Johnsen; s integral method, a retrospective survey of 274 cases of 18-39 years old patients with testicular descent. Patients were divided into four groups, the first group of 61 patients with bilateral testicular descent fixation; the second group of 149 patients underwent unilateral testicular descent surgery; the third group of 26 cases of unilateral testicular excision; the fourth group of 38 Cases were not surgical treatment of unilateral testicular dysfunction. The first to third groups according to the age of surgery and then split into sexual maturity (2