ElBardisi H, Arafa M, Rengan A K, Durairajanayagam D, AlSaid S S, Khalafalla K, AlRumaihi K, Majzoub A, Agarwal A
Department of Urology, Hamad Medical Corporation, Doha, Qatar.
Department of Andrology, Cairo University, Cairo, Egypt.
Andrologia. 2017 May;49(4). doi: 10.1111/and.12637. Epub 2016 Jul 12.
Objective of this retrospective study was to assess the presence and clinical grade of varicocele among Qatari and non-Qatari men evaluated for infertility. Diagnosis of varicocele was performed clinically and confirmed via colour Doppler ultrasonography. A total of 455 infertile male patients (mean age 36.3 ± 7.6 years) were divided into either Qatari (n = 91, mean age 37.3 ± 9.1 years) or non-Qatari (n = 364, mean age 36.0 ± 7.1 years) groups. Among all patients, 43.1% (n = 196) were confirmed to have varicocele, of which 40 were Qatari and 156 non-Qatari. Among all patients, 171 (37.6%) presented with left-sided varicocele and 25 (5.5%) with bilateral varicocele. Of the 196 patients with varicocele, grade I was given to 40 (20.4%), grade II to 68 (34.7%) and grade III to 88 (44.9%). Grade II and III varicocele were seen significantly more frequently than grade I among all patients and non-Qatari patients (p < .05). Grade II varicocele was seen more frequently than grades I or III among Qatari patients, but difference was not significant. Grade III was seen significantly more frequently than grade I among patients with secondary infertility (p < .05). Varicocele is an important health issue in Qatar among both Qatari and non-Qatari men.
这项回顾性研究的目的是评估在因不育症接受评估的卡塔尔男性和非卡塔尔男性中精索静脉曲张的存在情况及临床分级。精索静脉曲张的诊断通过临床检查进行，并经彩色多普勒超声检查确认。总共455名不育男性患者（平均年龄36.3±7.6岁）被分为卡塔尔组（n = 91，平均年龄37.3±9.1岁）和非卡塔尔组（n = 364，平均年龄36.0±7.1岁）。在所有患者中，43.1%（n = 196）被确诊患有精索静脉曲张，其中40名是卡塔尔人，156名是非卡塔尔人。在所有患者中，171名（37.6%）表现为左侧精索静脉曲张，25名（5.5%）表现为双侧精索静脉曲张。在196名患有精索静脉曲张的患者中，I级有40名（20.4%），II级有68名（34.7%），III级有88名（44.9%）。在所有患者和非卡塔尔患者中，II级和III级精索静脉曲张的出现频率明显高于I级（p <.05）。在卡塔尔患者中，II级精索静脉曲张的出现频率高于I级或III级，但差异不显著。在继发性不育患者中，III级精索静脉曲张的出现频率明显高于I级（p <.05）。精索静脉曲张在卡塔尔的卡塔尔男性和非卡塔尔男性中都是一个重要的健康问题。
