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精索内静脉结扎切断术后精液及妊娠率的改善:事实还是虚构?

Improvement of semen and pregnancy rate after ligation and division of the internal spermatic vein: fact or fiction?

作者信息

Nilsson S, Edvinsson A, Nilsson B

出版信息

Br J Urol. 1979 Dec;51(6):591-6. doi: 10.1111/j.1464-410x.1979.tb03609.x.

DOI:10.1111/j.1464-410x.1979.tb03609.x
PMID:534846
Abstract

Male partners with left-sided varicoceles of 96 infertile couples were studied. Fifty-one patients were submitted to ligation of the testicular veins and 45 individuals were randomised as controls. During an observation period of 53 months (range 36 to 74 months) we found no statiscally significant improvement in the semen crude variables, the morphology or the progressive motility in the series of men submitted to surgery. The pregnancy rate was lower in those who had an excision of varicocelle.

摘要

对96对不育夫妇中患有左侧精索静脉曲张的男性伴侣进行了研究。51例患者接受了睾丸静脉结扎术,45例被随机作为对照。在53个月(范围36至74个月)的观察期内,我们发现接受手术的男性系列中,精液的原始变量、形态或进行性活力均无统计学上的显著改善。精索静脉曲张切除术患者的妊娠率较低。

相似文献

1
Improvement of semen and pregnancy rate after ligation and division of the internal spermatic vein: fact or fiction?精索内静脉结扎切断术后精液及妊娠率的改善:事实还是虚构?
Br J Urol. 1979 Dec;51(6):591-6. doi: 10.1111/j.1464-410x.1979.tb03609.x.
2
Further observations on the role of varicocele in human male infertility.关于精索静脉曲张在男性不育症中作用的进一步观察
Fertil Steril. 1969 Jul-Aug;20(4):545-63. doi: 10.1016/s0015-0282(16)37081-9.
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Seminal cytology in the presence of varicocele.精索静脉曲张情况下的精液细胞学
Fertil Steril. 1965 Nov-Dec;16(6):735-57. doi: 10.1016/s0015-0282(16)35765-x.
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Spermatic vein ligation as treatment for male infertility. Justification by postoperative semen improvement and pregnancy rates.精索静脉结扎术治疗男性不育症。术后精液改善情况及妊娠率作为其合理性依据。
J Reprod Med. 1990 Feb;35(2):123-7.
5
Laparoscopic internal spermatic vein ligation: report of a new technique.腹腔镜下精索内静脉结扎术:一种新技术的报告。
Fertil Steril. 1992 Dec;58(6):1263-6. doi: 10.1016/s0015-0282(16)55585-x.
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Efficacy of spermatic vein ligation in patients affected by high grade left varicocele.高位左侧精索静脉曲张患者行精索静脉结扎术的疗效。
Int Braz J Urol. 2014 Jan-Feb;40(1):62-6. doi: 10.1590/S1677-5538.IBJU.2014.01.09.
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Testicular vein ligation and fertility in men with varicoceles.精索静脉曲张男性的睾丸静脉结扎与生育能力
Br Med J (Clin Res Ed). 1985 Dec 14;291(6510):1678-80. doi: 10.1136/bmj.291.6510.1678.
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Intraoperative internal spermatic vein phlebography in the subfertile male with varicocele.精索静脉曲张所致男性不育患者的术中精索内静脉静脉造影术。
Fertil Steril. 1978 Jun;29(6):669-75. doi: 10.1016/s0015-0282(16)43343-1.
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The effect of varicocelectomy on sperm count, motility, and conception rate.精索静脉曲张切除术对精子数量、活力及受孕率的影响。
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Reproductive history and semen analysis in prevasectomy fertile men with and without varicocele.有或无精索静脉曲张的输精管切除术前可育男性的生殖史和精液分析
J Androl. 1984 Jan-Feb;5(1):17-20. doi: 10.1002/j.1939-4640.1984.tb00772.x.

引用本文的文献

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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
Need for Training in Research Methodology Prior to Conducting Systematic Reviews and Meta-Analyses, and the Effectiveness of an Online Training Program: The Global Andrology Forum Model.在进行系统评价和荟萃分析之前对研究方法学进行培训的必要性以及在线培训项目的有效性:全球男科学论坛模式
World J Mens Health. 2023 Apr;41(2):342-353. doi: 10.5534/wjmh.220128. Epub 2023 Jan 1.
3
Impact of Varicocele Repair on Semen Parameters in Infertile Men: A Systematic Review and Meta-Analysis.
精索静脉曲张修复术对不育男性精液参数的影响:一项系统评价和荟萃分析。
World J Mens Health. 2023 Apr;41(2):289-310. doi: 10.5534/wjmh.220142. Epub 2022 Oct 28.
4
Surgical or radiological treatment for varicoceles in subfertile men.对不育男性精索静脉曲张的手术或放射治疗。
Cochrane Database Syst Rev. 2021 Apr 23;4(4):CD000479. doi: 10.1002/14651858.CD000479.pub6.
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.
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The benefits of varicocele repair for achieving pregnancy in male infertility: A systematic review and meta-analysis.精索静脉曲张修复术对男性不育症患者实现妊娠的益处:一项系统评价与荟萃分析。
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The Role of Varicocele in Male Factor Subfertility.精索静脉曲张在男性因素亚生育中的作用。
Curr Urol Rep. 2017 Sep;18(9):73. doi: 10.1007/s11934-017-0713-8.
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Varicocele and testicular function.精索静脉曲张与睾丸功能。
Asian J Androl. 2015 Jul-Aug;17(4):659-67. doi: 10.4103/1008-682X.153539.
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Inguinal and subinguinal micro-varicocelectomy, the optimal surgical management of varicocele: a meta-analysis.腹股沟和腹股沟下显微精索静脉结扎术,精索静脉曲张的最佳手术治疗方法:一项荟萃分析
Asian J Androl. 2015 Jan-Feb;17(1):74-80. doi: 10.4103/1008-682X.136443.
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Comparison of recombinant human follicle stimulating hormone (rhFSH), human chorionic gonadotropin (HCG) and human menopausal gonadotropin (HMG) on semen parameters after varicocelectomy: a randomized clinical trial.精索静脉曲张切除术后重组人促卵泡激素(rhFSH)、人绒毛膜促性腺激素(HCG)和人绝经期促性腺激素(HMG)对精液参数影响的比较:一项随机临床试验
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