男性精索静脉曲张与不育症
Varicocele and infertility in men.
作者信息
Freiha F, Mroueh A
出版信息
West J Med. 1976 Dec;125(6):431-3.
Abstract
Varicocele is an important cause of infertility in men. The exact mechanism by which varicocele depresses spermatogenesis is unknown but probably the retrograde flow of blood rich in catecholamines into the testes plays a major role. Because subfertile semen qualities are present in a large percentage of men with varicocele and because the response to surgical procedures is very good, high ligation of the left internal spermatic vein is recommended in men with varicocele and infertility.
摘要
精索静脉曲张是男性不育的一个重要原因。精索静脉曲张抑制精子发生的确切机制尚不清楚，但富含儿茶酚胺的血液逆行流入睾丸可能起主要作用。由于很大比例患有精索静脉曲张的男性精液质量欠佳，且对手术治疗的反应非常良好，因此建议对患有精索静脉曲张且不育的男性进行左侧精索内静脉高位结扎术。
相似文献
1
Varicocele and infertility in men.男性精索静脉曲张与不育症
West J Med. 1976 Dec;125(6):431-3.
2
The varicocele and male infertility.精索静脉曲张与男性不育症。
Urol Clin North Am. 1981 Feb;8(1):41-51.
3
Nitric oxide produced in the testis is involved in dilatation of the internal spermatic vein that compromises spermatogenesis in infertile men with varicocele.睾丸中产生的一氧化氮参与精索内静脉扩张，这会损害患有精索静脉曲张的不育男性的精子发生。
BJU Int. 2007 May;99(5):1086-90. doi: 10.1111/j.1464-410X.2007.06800.x. Epub 2007 Mar 6.
4
5
[Varicocele and subfertility].[精索静脉曲张与亚生育力]
Hautarzt. 1981 Jan;32(1):8-13.
6
[Idiopathic varicocele as the cause of fertility disorders and its management using high ligation of the spermatic artery and vein].[特发性精索静脉曲张作为生育障碍的病因及其采用精索动静脉高位结扎术的治疗]
Dtsch Med Wochenschr. 1968 Dec 13;93(50):2427-8 passim. doi: 10.1055/s-0028-1110955.
7
8
Induction of spermatogenesis in men with azoospermia or severe oligoteratoasthenospermia after antegrade internal spermatic vein sclerotherapy for the treatment of varicocele.精索静脉曲张患者采用顺行性精索内静脉硬化疗法治疗后，无精子症或严重少弱畸精子症男性精子发生的诱导。
Asian J Androl. 2006 Sep;8(5):613-9. doi: 10.1111/j.1745-7262.2006.00157.x.
9
10
[The effect of seminal leukocytes on semen quality in subfertile males with and without varicocele].[精液白细胞对有无精索静脉曲张的亚生育男性精液质量的影响]
Arch Esp Urol. 2004 Nov;57(9):921-8.
本文引用的文献
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Varicocele: a treatable cause of subfertility.精索静脉曲张：一种可治疗的不育原因。
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Treatment of male subfertility; testicular temperature and varicoceles.男性生育力低下的治疗；睾丸温度与精索静脉曲张
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Varicocele in groups of fertile and subfertile males.可育和亚可育男性群体中的精索静脉曲张。
Br Med J. 1954 May 29;1(4873):1231-3. doi: 10.1136/bmj.1.4873.1231.
4
Functional importance of the vascularization of the testis and epididymis for the maintenance of normal spermatogenesis.睾丸和附睾血管化对维持正常精子发生的功能重要性。
Fertil Steril. 1952 Sep-Oct;3(5):366-75. doi: 10.1016/s0015-0282(16)31021-4.
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Testicular changes in subfertile males with varicocele.精索静脉曲张导致的亚生育男性的睾丸变化。
Fertil Steril. 1967 Sep-Oct;18(5):666-71. doi: 10.1016/s0015-0282(16)36428-7.
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The varicocele as related to fertility.与生育相关的精索静脉曲张。
Fertil Steril. 1967 Jan-Feb;18(1):46-56. doi: 10.1016/s0015-0282(16)36184-2.
7
Seminal cytology in the presence of varicocele.精索静脉曲张情况下的精液细胞学
Fertil Steril. 1965 Nov-Dec;16(6):735-57. doi: 10.1016/s0015-0282(16)35765-x.
8
Further observations on the role of varicocele in human male infertility.关于精索静脉曲张在男性不育症中作用的进一步观察
Fertil Steril. 1969 Jul-Aug;20(4):545-63. doi: 10.1016/s0015-0282(16)37081-9.
9
Varicocele and infertility.精索静脉曲张与不孕不育。
JAMA. 1968 Jun 24;204(13):1165-8.
10
Varicocele sterility: cortisol and catecholamines.精索静脉曲张性不育：皮质醇与儿茶酚胺
Fertil Steril. 1974 Jan;25(1):88-95. doi: 10.1016/s0015-0282(16)40159-7.
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