首页|期刊导航|生殖医学杂志|精索静脉曲张损伤睾丸生精功能的机制及中药干预研究进展

精索静脉曲张损伤睾丸生精功能的机制及中药干预研究进展OA

Research progress in the mechanism of testicular spermatogenic function damage caused by varicocele and intervention with traditional Chinese medicine

中文摘要英文摘要

精索静脉曲张是精索内的蔓状静脉丛异常伸长、扩张及迂曲的一种血管病变,是引起男性不育的常见原因.研究表明,精索静脉曲张可通过诱导氧化应激损伤、促进精原细胞凋亡、引发慢性炎症反应以及干扰类固醇激素合成等多种机制损伤睾丸的生精功能,进而降低男性生育力.目前临床上仍缺乏针对精索静脉曲张的特效药物,而中医药以其多成分、多靶点、多途径的特点,在改善精索静脉曲张引起的睾丸生精功能损伤方面展现出独特优势.尽管国内外已有探讨精索静脉曲张损伤睾丸生精功能的作用机制的相关文献,但目前尚缺乏中医药对该领域的系统性回顾与总结.为此,本文对精索静脉曲张损伤睾丸生精功能的相关机制及中医药干预的研究进展进行综述,以期为在该领域的临床应用与深入研究提供参考.

Varicocele refers to a vascular disease in which the plexus of veins within the spermatic cord is abnormally elongated,dilated,and tortuous.It is a common cause of male infertility.Numerous studies have shown that varicocele can damage the spermatogenic function of the testes through various mechanisms such as inducing oxidative stress damage,promoting apoptosis of spermatogonia,triggering chronic inflammatory reactions,and interfering with steroid hormone synthesis,thereby reducing male fertility.There is currently no specific drug for varicocele in clinical practice.And traditional Chinese medicine,with its multi-component,multi-target,and multi pathway characteristics,has shown unique advantages in improving testicular spermatogenic function damage caused by varicocele.Although there are relevant literature on the mechanism of testicular spermatogenic function damage caused by varicocele both domestically and internationally,there is currently a lack of systematic review and summary of traditional Chinese medicine in this field.Therefore,this article summarizes the relevant mechanisms of testicular spermatogenic function damage caused by varicocele and the research progress related with traditional Chinese medicine intervention,in order to provide a reference for the clinical application and in-depth research of traditional Chinese medicine in this field.

黄念文;白遵光;古炽明;杨世坚;黄钦展;毕焕洲;袁少英

广东省中医院,广州 510180广东省中医院,广州 510180广东省中医院,广州 510180广东省中医院,广州 510180广东省中医院,广州 510180北京中医药大学深圳医院,深圳 518116广东省中医院珠海医院,珠海 519015

医药卫生

精索静脉曲张男性不育症中医药作用机制研究进展

VaricoceleMale infertilityTraditional Chinese medicineMechanism of actionResearch progress

《生殖医学杂志》 2026 (3)

411-417,7

国家自然科学基金(82274532)广东省中医药局科研项目(20231308)重大疑难疾病中西医临床协作项目(ZDYN-2024-A-046)

10.3969/j.issn.1004-3845.2026.03.019

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