Gaspari A L, Sica G S, Di Lorenzo N
Dipartimento di Chirurgia, Università degli Studi Tor Vergata, Roma.
Ann Ital Chir. 1994 Sep-Oct;65(5):569-72.
The correlation between varicocele and infertility has been established for many years. Authors expose their twelve years experience on surgical treatment of varicocele. 213 cases have been treated: 105 had infertility associated to varicocele and a microsurgical treatment has been performed. A high legature of spermatic vein has been applied to 108 patients with normal spermiogram (the last 6 by laparoscopic technique). In the case in which there is alteration of the spermiogram the microsurgical treatment seems more efficient for the sperm quality because it is more valuable in eliminating the venous stasis, and the operation Belgrano 1 seems to be the best compared to the others. Correlating the treatment efficiency to the simplicity of the application and to the treatment expense and reduced morbility we think it is advisable to treat the spermatic vein with laparoscopic ligature in patients with normal fertility indexes, even on the basis of our recent experience. Physiopathology, economic reasons and efficacy have been demonstrated.
精索静脉曲张与不孕之间的关联已被确立多年。作者阐述了他们在精索静脉曲张手术治疗方面的十二年经验。共治疗了213例患者：其中105例患有与精索静脉曲张相关的不孕，并接受了显微外科治疗。对108例精液分析正常的患者进行了精索静脉高位结扎术（最后6例采用腹腔镜技术）。在精液分析有异常的情况下，显微外科治疗对精子质量似乎更有效，因为它在消除静脉淤血方面更具价值，并且与其他手术相比，贝尔格拉诺1号手术似乎是最佳选择。综合治疗效果、应用的简便性、治疗费用以及降低的发病率等因素，我们认为即使基于我们最近的经验，对于生育指标正常的患者，采用腹腔镜结扎治疗精索静脉也是可取的。已经证明了其病理生理学、经济原因和疗效。
