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右侧亚临床精索静脉曲张：对于临床左侧精索静脉曲张的不育患者，应如何处理？

Right subclinical varicocele: how to manage in infertile patients with clinical left varicocele?

机构信息

Urology Department, Tanta University, Tanta, Egypt.

出版信息

Fertil Steril. 2009 Dec;92(6):2050-3. doi: 10.1016/j.fertnstert.2009.05.069. Epub 2009 Jul 16.

DOI:10.1016/j.fertnstert.2009.05.069
PMID:19615680
Abstract

In this prospective study, we compared the results of bilateral varicocelectomy and left varicocelectomy for treatment of infertile patients with subclinical right and clinical left varicoceles with oligoasthenospermia. Because there was more improvement in semen parameters and pregnancy rate in patients who underwent the bilateral surgery, we concluded that right subclinical varicocele should be surgically treated in conjunction with the left one.

摘要

在这项前瞻性研究中，我们比较了双侧精索静脉结扎术和左侧精索静脉结扎术治疗伴有少弱精子症的亚临床右侧和临床左侧精索静脉曲张不育患者的结果。由于双侧手术患者的精液参数和妊娠率改善更明显，我们得出结论，右侧亚临床精索静脉曲张应与左侧精索静脉曲张一起手术治疗。

相似文献

1
Right subclinical varicocele: how to manage in infertile patients with clinical left varicocele?右侧亚临床精索静脉曲张：对于临床左侧精索静脉曲张的不育患者，应如何处理？
Fertil Steril. 2009 Dec;92(6):2050-3. doi: 10.1016/j.fertnstert.2009.05.069. Epub 2009 Jul 16.
2
Is varicocelectomy indicated in subfertile men with clinical varicoceles who have asthenospermia or teratospermia and normal sperm density?对于患有临床精索静脉曲张、弱精子症或畸形精子症且精子密度正常的不育男性，精索静脉曲张切除术是否适用？
Int J Urol. 2007 Aug;14(8):729-32. doi: 10.1111/j.1442-2042.2007.01786.x.
3
Efficacy of bilateral and left varicocelectomy in infertile men with left clinical and right subclinical varicoceles: a comparative study.双侧与左侧精索静脉曲张切除术对患有左侧临床型和右侧亚临床型精索静脉曲张的不育男性的疗效：一项对比研究
Urology. 2009 Jun;73(6):1236-40. doi: 10.1016/j.urology.2008.11.050. Epub 2009 Apr 15.
4
[Indication of varicocelectomy for the treatment of male infertility].[精索静脉曲张切除术治疗男性不育症的适应证]
Hinyokika Kiyo. 2004 Aug;50(8):549-52.
5
Bilateral is superior to unilateral varicocelectomy in infertile males with left clinical and right subclinical varicocele: a prospective randomized controlled study.对于患有左侧临床型和右侧亚临床型精索静脉曲张的不育男性，双侧精索静脉曲张切除术优于单侧：一项前瞻性随机对照研究。
Int Urol Nephrol. 2018 Feb;50(2):205-210. doi: 10.1007/s11255-017-1749-x. Epub 2017 Dec 5.
6
Effect of varicocelectomy on sperm parameters and pregnancy rate in patients with subclinical varicocele: a randomized prospective controlled study.精索静脉曲张切除术对亚临床精索静脉曲张患者精子参数及妊娠率的影响：一项随机前瞻性对照研究。
J Urol. 1996 May;155(5):1636-8.
7
Microsurgical varicocelectomy for infertile men with oligospermia: differential effect of bilateral and unilateral varicocele on pregnancy outcomes.显微外科精索静脉结扎术治疗少精子症不育男性：双侧和单侧精索静脉曲张对妊娠结局的不同影响
BJU Int. 2009 Aug;104(4):524-8. doi: 10.1111/j.1464-410X.2009.08431.x. Epub 2009 Mar 26.
8
Microsurgical varicocelectomy for isolated asthenospermia.显微外科精索静脉曲张切除术治疗单纯弱精子症
J Urol. 2008 Nov;180(5):2129-32. doi: 10.1016/j.juro.2008.07.046. Epub 2008 Sep 18.
9
[Microsurgical varicocelectomy for male infertility].[显微外科精索静脉曲张切除术治疗男性不育症]
Zhonghua Nan Ke Xue. 2008 Jul;14(7):640-4.
10
Beneficial effect of microsurgical varicocelectomy is superior for men with bilateral versus unilateral repair.显微外科精索静脉曲张切除术对双侧修复的男性患者的有益效果优于单侧修复。
J Urol. 2006 Dec;176(6 Pt 1):2602-5; discussion 2605. doi: 10.1016/j.juro.2006.07.161.

引用本文的文献

1
Does Varicocele Repair Improve Conventional Semen Parameters? A Meta-Analytic Study of Before-After Data.精索静脉曲张修复术能否改善传统精液参数？一项前后数据的荟萃分析研究。
World J Mens Health. 2024 Jan;42(1):92-132. doi: 10.5534/wjmh.230034. Epub 2023 Jun 22.
2
Varicocele: To Treat or Not to Treat?精索静脉曲张：治还是不治？
J Clin Med. 2023 Jun 15;12(12):4062. doi: 10.3390/jcm12124062.
3
Predictors of microsurgical varicocelectomy efficacy in male infertility treatment: critical assessment and systematization.男性不育治疗中小切口精索静脉结扎术疗效的预测因素：批判性评估和系统化。
Asian J Androl. 2023 Jan-Feb;25(1):21-28. doi: 10.4103/aja2021125.
4
Clinical outcome of pediatric and young adult subclinical varicoceles: a single-institution experience.小儿及青年亚临床精索静脉曲张的临床结局：单机构经验
Asian J Androl. 2021 Nov-Dec;23(6):611-615. doi: 10.4103/aja.aja_22_21.
5
Improvement of sperm morphology after surgical varicocele repair.精索静脉曲张手术后精子形态的改善。
Andrology. 2021 Jul;9(4):1176-1184. doi: 10.1111/andr.13012. Epub 2021 May 6.
6
Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations.精索静脉曲张的超声评估：系统文献回顾及 ESUR-SPIWG 指南和建议的基本原理。
J Ultrasound. 2020 Dec;23(4):487-507. doi: 10.1007/s40477-020-00509-z. Epub 2020 Jul 27.
7
Cut-off values of the Johnsen score and Copenhagen index as histopathological prognostic factors for postoperative semen quality in selected infertile patients undergoing microsurgical correction of bilateral subclinical varicocele.在接受双侧亚临床精索静脉曲张显微外科矫正的部分不育患者中，Johnsen评分和哥本哈根指数作为术后精液质量组织病理学预后因素的截断值。
Transl Androl Urol. 2019 Aug;8(4):346-355. doi: 10.21037/tau.2019.06.23.
8
Bilateral is superior to unilateral varicocelectomy in infertile males with left clinical and right subclinical varicocele: a prospective randomized controlled study.对于患有左侧临床型和右侧亚临床型精索静脉曲张的不育男性，双侧精索静脉曲张切除术优于单侧：一项前瞻性随机对照研究。
Int Urol Nephrol. 2018 Feb;50(2):205-210. doi: 10.1007/s11255-017-1749-x. Epub 2017 Dec 5.
9
It is high time for clinical application of sperm DNA fragmentation testing.精子DNA碎片检测的临床应用时机已经成熟。
Transl Androl Urol. 2017 Sep;6(Suppl 4):S577-S579. doi: 10.21037/tau.2017.06.16.
10
Varicocele and male infertility.精索静脉曲张与男性不育。
Nat Rev Urol. 2017 Sep;14(9):523-533. doi: 10.1038/nrurol.2017.98. Epub 2017 Jul 4.