D'Agostino S, Zen F, Ioverno E, Pesce C, Belloli G
Divisione di Chirurgia Pediatrica, Ospedale Regionale di Vicenza, Italia.
Pediatr Med Chir. 1996 Sep-Oct;18(5 Suppl):37-40.
Impairment of fertility rate has been found to be associated with cryptorchidism. In this study we assessed the fertility of 172 adult subjects with unilateral and bilateral cryptorchidism who underwent surgical correction in pediatric age. Fertility has been evaluated by sperm analysis. Moreover test of function of spermatozoa membrane (swelling-test) and the research of antisperm antibodies (spermmar test) were carried out. The report presents data demonstrating that the fertility rate in patients with bilateral cryptorchidism is markedly reduced if compared with subjects affected by unilateral cryptorchidism. Azoospermia is present in 18% of bilateral cryptorchidism. The timing of surgery and the anatomical position of the cryptorchid testes do not seem to affect the fertility rate.
已发现生育率受损与隐睾症有关。在本研究中，我们评估了172名在儿童期接受手术矫正的单侧和双侧隐睾成年患者的生育能力。通过精子分析评估生育能力。此外，还进行了精子细胞膜功能测试（肿胀试验）和抗精子抗体研究（精子凝集试验）。该报告提供的数据表明，与单侧隐睾患者相比，双侧隐睾患者的生育率明显降低。双侧隐睾患者中有18%存在无精子症。手术时机和隐睾的解剖位置似乎不影响生育率。
