Stio F, Iavarone C, Giacomelli L, Minocchi L, Braccioni A, Gallinacci F, Gabatel R
Istituto di III Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1995 Aug-Sep;16(8-9):377-80.
The Authors have examined, over a period of two years, 110 patients presenting with varicocele and infertility. Varicocele has an incidence of 40% in male sterility, causing oligozoospermia and asthenospermia. Patients first underwent non-invasive tests such as Doppler and echo-Doppler tests. According to the Authors experience, Doppler speedometry is decisive for the diagnosis of both idiopathic and subclinical varicocele, for the post-operative control of microsurgical anastomosis, and for the intra-operative detection of accessory spermatic veins. The surgical technique used by the Authors is the modified Palomo technique, but other techniques are investigated as well. Post-operative results, concerning both spermiogram and relapses are also evaluated.
作者在两年时间里对110例患有精索静脉曲张和不育症的患者进行了检查。精索静脉曲张在男性不育症中的发病率为40%，可导致少精子症和弱精子症。患者首先接受了诸如多普勒和超声多普勒检查等非侵入性检查。根据作者的经验，多普勒测速法对于特发性和亚临床精索静脉曲张的诊断、显微外科吻合术后的控制以及术中对副精索静脉的检测具有决定性作用。作者采用的手术技术是改良的帕洛莫技术，但也对其他技术进行了研究。还评估了术后关于精液分析和复发的结果。
