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精索静脉曲张影响下的青少年睾丸的形态学与外科概述

Morphological and surgical overview of adolescent testis affected by varicocele.

作者信息

Santoro Giuseppe, Romeo Carmelo

机构信息

Department of Biomorphology and Biotechnologies, A.O.U. "G. Martino", University of Messina, Via Consolare Valeria, 98125 Messina, Italy.

Department of Pediatric, Gynaecological, Microbiological and Biomedical Sciences, A.O.U. "G. Martino", University of Messina, Via Consolare Valeria, 98125 Messina, Italy.

出版信息

ScientificWorldJournal. 2013 Nov 20;2013:469413. doi: 10.1155/2013/469413.

DOI:10.1155/2013/469413
PMID:24348160
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3856136/
Abstract

Varicocele is a common pathology of the testis frequently associated with infertility. For its management, a fine morphological study of the testis, both macroscopically and microscopically, and an accurate choice of surgical procedure are mandatory. The present review focuses its attention on the anatomic substrates of adolescent varicocele and its pathophysiologic modifications. The comprehensive assessment of all the reported alterations should be considered by the clinician before deciding the type of treatment and the timing.

摘要

精索静脉曲张是睾丸常见的病理状况，常与不育症相关。对于其治疗，对睾丸进行宏观和微观的精细形态学研究以及准确选择手术方式是必不可少的。本综述着重关注青少年精索静脉曲张的解剖学基础及其病理生理改变。临床医生在决定治疗类型和时机之前，应综合考虑所有已报道的改变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63fc/3856136/666e147ed9d8/TSWJ2013-469413.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63fc/3856136/d3c984d2edf3/TSWJ2013-469413.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63fc/3856136/666e147ed9d8/TSWJ2013-469413.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63fc/3856136/d3c984d2edf3/TSWJ2013-469413.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63fc/3856136/666e147ed9d8/TSWJ2013-469413.002.jpg

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1
Morphological and surgical overview of adolescent testis affected by varicocele.精索静脉曲张影响下的青少年睾丸的形态学与外科概述
ScientificWorldJournal. 2013 Nov 20;2013:469413. doi: 10.1155/2013/469413.
2
Varicocele in the adolescent.
Adv Exp Med Biol. 1991;286:295-321.
3
Varicocele as a contributing factor to male infertility. A preliminary report.精索静脉曲张作为男性不育的一个促成因素。初步报告。
Int J Fertil. 1965 Oct-Dec;10(4):359-72.
4
Histological lesions in the testis of infertile men with varicocele.
Arch Androl. 1979 Jun;2(4):335-9. doi: 10.3109/01485017908987335.
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Diagnostic testicular biopsy before varicocele repair plays a realistic and important role.在精索静脉曲张修复之前进行诊断性睾丸活检具有现实和重要的作用。
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Histological findings in testes with varicocele during childhood and their therapeutic consequences.儿童精索静脉曲张患者睾丸的组织学 findings 及其治疗后果。 需注意这里“findings”直接翻译为“发现”不太符合医学语境，结合上下文推测这里可能是指“检查结果”之类的意思，但按照要求未添加额外解释。
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[Idiopathic varicocele with special reference to childhood and adolescence].[特发性精索静脉曲张，特别涉及儿童期和青春期]
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[Testicular biopsy in scrotal varicocele].
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Asymptomatic postpubertal male with palpable left varicocele and subclinical right varicocele.青春期后无症状男性，左侧精索静脉曲张可触及，右侧为亚临床型精索静脉曲张。
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Inter-observer agreement on varicoceles diagnosis among patients referred to Shiraz Namazi Hospital.设拉子纳马齐医院转诊患者中精索静脉曲张诊断的观察者间一致性。
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Role of Inhibitors of Apoptosis Proteins in Testicular Function and Male Fertility: Effects of Polydeoxyribonucleotide Administration in Experimental Varicocele.凋亡抑制蛋白在睾丸功能和男性生育中的作用：聚脱氧核糖核苷酸给药对实验性精索静脉曲张的影响
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Free radicals in adolescent varicocele testis.

本文引用的文献

1
Prospective follow up of fertility after adolescent laparoscopic varicocelectomy.青少年腹腔镜精索静脉结扎术后生育能力的前瞻性随访。
Eur Rev Med Pharmacol Sci. 2013 Apr;17(8):1060-3.
2
Testicular symmetry and adolescent varicocele--does it need followup?睾丸对称性与青少年精索静脉曲张——是否需要随访？
J Urol. 2011 Oct;186(4 Suppl):1614-8. doi: 10.1016/j.juro.2011.03.068.
3
Aquaporin-9 immunohistochemistry in varicocele testes as a consequence of hypoxia in the sperm production site.精索静脉曲张睾丸中水通道蛋白-9免疫组化与精子产生部位缺氧的关系
青少年精索静脉曲张睾丸中的自由基。
Oxid Med Cell Longev. 2014;2014:912878. doi: 10.1155/2014/912878. Epub 2014 Dec 14.
Andrologia. 2011 Feb;43(1):34-7. doi: 10.1111/j.1439-0272.2009.01009.x. Epub 2010 Dec 19.
4
Laparoscopic vs open varicocelectomy in children and adolescents: review of the recent literature and meta-analysis.腹腔镜与开放精索静脉结扎术治疗儿童和青少年精索静脉曲张：文献回顾和荟萃分析。
J Pediatr Surg. 2010 Dec;45(12):2464-9. doi: 10.1016/j.jpedsurg.2010.07.007.
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Update on the management of adolescent varicocele.青少年精索静脉曲张管理的最新进展。
F1000 Med Rep. 2010 Apr 12;2:25. doi: 10.3410/M2-25.
6
The fetal venous system, part I: normal embryology, anatomy, hemodynamics, ultrasound evaluation and Doppler investigation.胎儿静脉系统，第一部分：正常胚胎学、解剖学、血液动力学、超声评估和多普勒研究。
Ultrasound Obstet Gynecol. 2010 Jun;35(6):741-50. doi: 10.1002/uog.7618.
7
Varicocele and infertility: why a prevention?精索静脉曲张与不孕：为何要预防？
J Endocrinol Invest. 2009 Jun;32(6):559-61. doi: 10.1007/BF03346507. Epub 2009 May 26.
8
Testicular varicocele: an overview.睾丸精索静脉曲张：概述
Urol Int. 2009;82(4):373-9. doi: 10.1159/000218523. Epub 2009 Jun 8.
9
The distribution of the testicular artery (internal spermatic artery) to the human testis.睾丸动脉（精索内动脉）在人体睾丸的分布。
Br J Urol. 1948 Jun;20(2):57-66. doi: 10.1111/j.1464-410x.1948.tb10711.x.
10
Treatment of palpable varicocele in infertile men: a meta-analysis to define the best technique.不育男性可触及精索静脉曲张的治疗：一项确定最佳技术的荟萃分析
J Androl. 2009 Jan-Feb;30(1):33-40. doi: 10.2164/jandrol.108.005967. Epub 2008 Sep 4.