Potonnier F, Leconte F, Mansat A, Bennet P
J Urol Nephrol (Paris). 1977 Jun;83(6):349-55.
Overall results are given of the investigation and treatment of 282 cases of male sterility: 245 cases of secretory and 37 of excretory sterility; 126 cases in which treatment produced no change, 110 cases showing biological improvement and 45 cases in which pregnancy occurred; 128 of the 282 men had varicoceles. There were three groups of patients; 1) Those with azoospermia: 59 cases, predominantly with excretory problems, bilateral atrophy and chromosomal anomalies: of these, eight showed an improvement, of which two resulted in pregnancy; 2) Those with oligo-asthenospermia: 110 cases, with predominantly solitary varicoceles, intoxications and unknown causes: 66 per 100 showed improvement, and in 23 of these cases pregnancy resulted; 3) Those with varicoceles associated with another cause, predominantly unilateral atrophy and intoxications: 62.8 percent showed biological improvement, and 12 of these cases resulted in pregnancy. Also mentioned is the group of patients with solitary asthenospermia; solitary oligospermia and hyperzoospermia of more than 200 million per ml. Varicocele is the predominant pathology in these three groups.
给出了282例男性不育症的调查和治疗总体结果：分泌性不育245例，排泄性不育37例；治疗后无变化的126例，有生物学改善的110例，妊娠的45例；282名男性中有128例患有精索静脉曲张。患者分为三组：1）无精子症患者：59例，主要存在排泄问题、双侧萎缩和染色体异常：其中8例有改善，2例妊娠；2）少弱精子症患者：110例，主要有孤立性精索静脉曲张、中毒和不明原因：每100例中有66例有改善，其中23例妊娠；3）与其他原因相关的精索静脉曲张患者，主要为单侧萎缩和中毒：62.8%有生物学改善，其中12例妊娠。还提到了单纯弱精子症、单纯少精子症和每毫升超过2亿精子的多精子症患者组。精索静脉曲张是这三组中的主要病理情况。
