Sayfan J, Soffer Y, Orda R
Department of Surgery, Assaf Harofeh Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel.
J Urol. 1992 Nov;148(5):1447-9. doi: 10.1016/s0022-5347(17)36934-3.
This study was done to evaluate the surgical results and the impact on fertility potential of 3 methods of varicocele treatment. Consecutive varicocele patients with primary or secondary infertility were randomly assigned to 3 treatment groups. Of the patients 36 underwent percutaneous embolization, 55 high ligation of the internal spermatic vein and 28 transinguinal simultaneous ligation of the internal and external spermatic veins. The transinguinal ligation proved to be safe. There was no difference in pregnancy rates but the seminal variables showed a slight improvement with statistical significance only in the 2 open surgical methods. There were no surgical failures in the transinguinal group as opposed to the other 2 techniques. Transinguinal ligation of the internal and external spermatic veins may be recommended as the primary treatment for varicocele. This technique also seems to be the procedure of choice when repeat intervention is required for failure of high ligation or embolization.
本研究旨在评估3种精索静脉曲张治疗方法的手术效果及其对生育潜能的影响。将原发性或继发性不育的连续精索静脉曲张患者随机分为3个治疗组。其中36例患者接受经皮栓塞治疗，55例接受精索内静脉高位结扎术，28例接受经腹股沟精索内、外静脉同时结扎术。经腹股沟结扎术被证明是安全的。妊娠率无差异，但精液参数仅在2种开放手术方法中有轻微改善且具有统计学意义。与其他2种技术不同，经腹股沟组未出现手术失败情况。经腹股沟精索内、外静脉结扎术可作为精索静脉曲张的首选治疗方法。当高位结扎或栓塞失败需要再次干预时，该技术似乎也是首选的手术方式。
