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本文引用的文献

1
Recovery of spermatogenesis after microsurgical subinguinal varicocele repair in azoospermic men based on testicular histology.基于睾丸组织学的无精子症男性显微外科腹股沟下精索静脉曲张修复术后精子发生的恢复情况
Int Braz J Urol. 2005 Nov-Dec;31(6):541-8. doi: 10.1590/s1677-55382005000600005.
2
Induction of spermatogenesis in azoospermic men after varicocele repair.精索静脉曲张修复术后无精子症男性精子发生的诱导。
Hum Reprod. 2003 Jan;18(1):108-12. doi: 10.1093/humrep/deg032.
3
Best practice policies for male infertility.男性不育的最佳实践政策。
Fertil Steril. 2002 May;77(5):873-82. doi: 10.1016/s0015-0282(02)03105-9.
4
Varicocele--the most common cause of male factor infertility?精索静脉曲张——男性不育因素中最常见的原因？
Hum Reprod Update. 2002 Jan-Feb;8(1):53-8. doi: 10.1093/humupd/8.1.53.
5
Internal spermatic vein diameter and age at operation reflect the response to varicocelectomy.精索内静脉直径和手术时年龄反映了对精索静脉曲张切除术的反应。
Andrologia. 2001 Nov;33(6):351-5. doi: 10.1046/j.1439-0272.2001.00452.x.
6
Pathophysiology of varicoceles in male infertility.男性不育症中精索静脉曲张的病理生理学
Hum Reprod Update. 2001 Sep-Oct;7(5):473-81. doi: 10.1093/humupd/7.5.473.
7
The pathophysiology of varicoceles in the light of current molecular and genetic information.基于当前分子和遗传信息的精索静脉曲张的病理生理学
Hum Reprod Update. 2001 Sep-Oct;7(5):461-72. doi: 10.1093/humupd/7.5.461.
8
Varicocelectomy improves intrauterine insemination success rates in men with varicocele.精索静脉曲张切除术可提高患有精索静脉曲张男性的宫内人工授精成功率。
J Urol. 2001 May;165(5):1510-3.
9
Microsurgical varicocelectomy in the era of assisted reproductive technology: influence of initial semen quality on pregnancy rates.辅助生殖技术时代的显微外科精索静脉曲张切除术：初始精液质量对妊娠率的影响。
Fertil Steril. 2001 May;75(5):1013-6. doi: 10.1016/s0015-0282(01)01698-3.
10
Effects of varicocele on male fertility.精索静脉曲张对男性生育能力的影响。
Hum Reprod Update. 2001 Jan-Feb;7(1):59-64. doi: 10.1093/humupd/7.1.59.

精索静脉曲张手术中结扎静脉数量与睾丸体积、激素水平及精液参数结果之间的关系。

Relationship between the number of veins ligated in a varicocelectomy with testicular volume, hormonal levels and semen parameters outcome.

作者信息

Pasqualotto Fábio Firmbach, Lucon Antônio Marmo, de Góes Plínio Moreira, Sobreiro Bernardo Passos, Hallak Jorge, Pasqualotto Eleonora Bedin, Arap Sami

机构信息

Divisão de Centro de Ciências Biológicas e da Saúde, Universidade de Caxias do Sul, RS, Brasil.

出版信息

J Assist Reprod Genet. 2005 Jun;22(6):245-9. doi: 10.1007/s10815-005-5147-4.

DOI:10.1007/s10815-005-5147-4
PMID:16021853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3455722/
Abstract

PURPOSE

Correlate semen analysis, hormones, and testicular volume with the number of veins ligated.

METHODS

Patients were divided into three groups: Group 1 (< or = 5 veins), Group 2 (6-10 veins), and Group 3 (> 10 veins). We evaluated testicular volume, hormonal levels, sperm concentration, and motility before and after the surgical procedure.

RESULTS

In Group 1, even though there was an improvement in both testicular volume and sperm concentration; testosterone levels and sperm motility did not improve with surgery. In Group 2, no changes were detected in the both testicular volumes, in sperm concentration, motility, and testosterone levels. In Group 3, an improvement was seen in the right testicle volume, testosterone levels, and sperm concentration. Follicle-stimulating hormone levels decreased following the surgical procedure in all groups.

CONCLUSION

Patients with more than 10 ligated veins have better chances to improve sperm concentration. FSH levels decreased in all groups of patients.

摘要

目的

将精液分析、激素水平及睾丸体积与结扎静脉的数量进行关联分析。

方法

患者被分为三组：第1组（≤5条静脉）、第2组（6 - 10条静脉）和第3组（>10条静脉）。我们在手术前后评估了睾丸体积、激素水平、精子浓度及活力。

结果

在第1组中，尽管睾丸体积和精子浓度有所改善，但睾酮水平和精子活力并未因手术而提高。在第2组中，睾丸体积、精子浓度、活力及睾酮水平均未检测到变化。在第3组中，右侧睾丸体积、睾酮水平及精子浓度有所改善。所有组患者术后促卵泡生成素水平均下降。

结论

结扎静脉超过10条的患者精子浓度改善的机会更大。所有组患者的促卵泡生成素水平均下降。