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精索静脉曲张切除术对精子数量、活力及受孕率的影响。

The effect of varicocelectomy on sperm count, motility, and conception rate.

作者信息

Newton R, Schinfeld J S, Schiff I

出版信息

Fertil Steril. 1980 Sep;34(3):250-4. doi: 10.1016/s0015-0282(16)44957-5.

DOI:10.1016/s0015-0282(16)44957-5
PMID:7409247
Abstract

One hundred and eighty-seven male partners of involuntarily infertile couples were evaluated and found to have dilatation of the left spermatic vein. One hundred and forty-nine underwent varicocelectomy and achieved a statistically significantly improved conception rate as compared with the nonoperated group. Although 70.5% of men whose wives subsequently conceived had improved semen count and motility postoperatively, no parameter distinguished these men from other patients with similar improvement who remained infertile.

摘要

对187名不育夫妇的男性伴侣进行了评估,发现他们存在左侧精索静脉曲张。149名患者接受了精索静脉曲张切除术,与未手术组相比,其受孕率在统计学上有显著提高。尽管随后妻子受孕的男性中有70.5%术后精液数量和活力有所改善,但没有任何参数能够将这些男性与其他精液同样改善但仍未生育的患者区分开来。

相似文献

1
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。
Fertil Steril. 1980 Sep;34(3):250-4. doi: 10.1016/s0015-0282(16)44957-5.
2
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.
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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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Microsurgical varicocelectomy for infertile couples with advanced female age: natural history in the era of ART.针对高龄女性不孕夫妇的显微外科精索静脉曲张切除术:辅助生殖技术时代的自然病程
J Androl. 2004 Nov-Dec;25(6):939-43. doi: 10.1002/j.1939-4640.2004.tb03165.x.
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Subinguinal microsurgical varicocelectomy for male factor subfertility: ten-year experience.精索内显微外科精索静脉结扎术治疗男性因素不育症:十年经验。
Hong Kong Med J. 2013 Aug;19(4):334-40. doi: 10.12809/hkmj133884. Epub 2013 May 6.
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Decreased sperm DNA fragmentation after surgical varicocelectomy is associated with increased pregnancy rate.精索静脉结扎术后精子 DNA 碎片化减少与妊娠率增加有关。
J Urol. 2010 Jan;183(1):270-4. doi: 10.1016/j.juro.2009.08.161.
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Varicocelectomy does not impact pregnancy outcomes following intracytoplasmic sperm injection procedures.精索静脉曲张切除术对卵胞浆内单精子注射术后的妊娠结局没有影响。
J Androl. 2012 Mar-Apr;33(2):239-43. doi: 10.2164/jandrol.110.011932. Epub 2011 Apr 7.
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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.
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Computer-assisted semen analysis parameters in men with varicocele: is surgery helpful?精索静脉曲张男性的计算机辅助精液分析参数:手术是否有帮助?
Fertil Steril. 1996 Sep;66(3):440-5. doi: 10.1016/s0015-0282(16)58516-1.
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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.

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