دوره 10، شماره 5 - ( 7-1391 )                   جلد 10 شماره 5 صفحات 452-441 | برگشت به فهرست نسخه ها

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Amirzargar M A, Yavangi M, Basiri A, Hosseini Moghaddam S M, Babbolhavaeji H, Amirzargar N, et al . Comparison of recombinant human follicle stimulating hormone (rhFSH), human chorionic gonadotropin (HCG) and human menopausal gonadotropin (HMG) on semen parameters after varicocelectomy: a randomized clinical trial. IJRM 2012; 10 (5) :441-452
URL: http://ijrm.ir/article-1-309-fa.html
امیرزرگر محمدعلی، یاونگی مهناز، بصیری عباس، حسینی مقدم سید مهدی، باب الهوائجی هوشنگ، امیرزرگر نسیبه، و همکاران.. مقایسه اثر هورمون محرک فولیکول نوترکیب انسانی، گنادوتروپین کوریونیک انسانی و گنادوتروپین منوپوزال انسانی روی پارامترهای منی بعد از واریکوسلکتومی. International Journal of Reproductive BioMedicine. 1391; 10 (5) :441-452

URL: http://ijrm.ir/article-1-309-fa.html


1- گروه اورولوژی، دانشگاه علوم پزشکی همدان، همدان، ایران ، dr_amirzargar@yahoo.com
2- گروه زنان و زایمان، مرکز تحقیقات فاطمیه، دانشگاه علوم پزشکی همدان، همدان، ایران
3- مرکز تحقیقات اورولوژی و نفرولوژی، بیمارستان شهید لبافی نژاد، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
4- گروه اورولوژی، دانشگاه علوم پزشکی همدان، همدان، ایران
چکیده:   (5122 مشاهده)
مقدمه: شایعترین یافته فیزیکی در مردان نابارور، واریکوسل است که یکی از مکانیسم هایی که از طریق آن واریکوسل پارامترهای مایع منی را تحت تأثیر قرار می­دهد، استرس اکسیداتیو است.
هدف: هدف از انجام این مطالعه، مقایسه تأثیر هورمون محرک فولیکول نوترکیب انسانی (rhFSH)، گنادوتروپین کوریونیک انسانی (HCG) و گنادوتروپین منوپوزال انسانی (HMG) بر روی پارامترهای منی و باروری بعد از واریکوسلکتومی برابر اولین بار می­باشد.
مواد و روش­ ها: یکصد و سیزده مرد نابارور دارای واریکوسل به چهار گروه تقسیم شدند. گروه الف، 5000 واحد HCG بصورت هفتگی، گروه ب: 75 واحد HMG سه بار در هفته و گروه ج: 75 واحد rhFSH سه بار در هفته دریافت کردند و گروه د: هیچ درمان دارویی بعد از واریکوسلکتومی دریافت نکردند.
نتایج: پس از سه ماه در گروه الف، مورفولوژی اسپرم بهبود یافت (0/007=p) که منجربه 32% حاملگی شد. در گروه ب، تحرک (0/023=p) و مورفولوژی اسپرم (p=0.014) بهبود داشت که منجر به میزان حاملگی 57% شد. در گروه ج، همه پارامترهای مایع منی ارزیابی شده افزایش داشت (0/05>p) که میزان حاملگی 62/5% بود. فقط rhFSH غلظت اسپرم را تا ml 106×20< افزایش داد (0/027=p). در گروه د، مورفولوژی اسپرم افزایش داشت (0/038=p) ولی سایر پارامترها بدون تغییر ماند و هیچ حاملگی رخ نداد.
نتیجه­ گیری: می ­توان نتیجه گرفت که این داروها می­توانند زمان القاء اسپرماتوژنز و باروری را در مقایسه با واریکوسلکتومی به تنهایی کاهش دهند. برای این هدف، rhFSH موثرتر از سایر داروها است.
نوع مطالعه: Original Article |

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