Yasumoto R, Kobayakawa H, Kawamura M, Iwai S, Yuuki K, Ohyama T, Matsumura T, Yamaguchi T, Hayahara N, Kawakita J
Department of Urology, Osaka City University Medical School.
Hinyokika Kiyo. 1988 Feb;34(2):309-11.
A clinical statistical analysis was conducted of the patients with varicocele who visited the Department of Urology, Osaka City University, and its related hospitals. Regarding the age distribution, patients younger than 50 years old were predominant; this age group included 20 of 24 cases, or 83%. An overwhelming majority of the cases, 75%, had the main complaint of infertility; they had not been able to have children even after 2 to 3 years of marriage. The next most common complaint was swelling and/or an uncomfortable feeling of the contents of the scrotum. In all of the cases, the lesion was seen in the left side of the scrotum. When the patients were classified on the basis of the sperm count, oligospermia was predominant; it was seen in 15 cases (62.5%). A study on the relationship between the sperm count and the grade of varicocele revealed a tendency for the sperm count to show an inverse relationship with the grade. Testicular atrophy showed a direct correlation with the grade. Of the patients with varicocele, 5 patients had one or more children, while 8 patients (61.5%) complained of their inability to have a child. No particular relationship could be identified between the age at the time of visiting our Department as outpatients and the degree of testicular atrophy.
对前往大阪市立大学泌尿外科及其相关医院就诊的精索静脉曲张患者进行了临床统计分析。关于年龄分布，50岁以下的患者占主导；该年龄组包括24例中的20例，即83%。绝大多数病例（75%）的主要诉求是不孕；他们在结婚2至3年后仍无法生育。其次最常见的诉求是阴囊内容物肿胀和/或有不适感。在所有病例中，病变均见于阴囊左侧。当根据精子计数对患者进行分类时，少精子症占主导；15例（62.5%）出现少精子症。一项关于精子计数与精索静脉曲张分级之间关系的研究表明，精子计数有与分级呈负相关的趋势。睾丸萎缩与分级呈直接相关。在精索静脉曲张患者中，5例有一个或多个孩子，而8例（61.5%）抱怨自己无法生育。门诊就诊时的年龄与睾丸萎缩程度之间未发现特定关系。
