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自1880年Barfield提出精索静脉曲张可引起不育后,这一课题引起人们瞩目。一个多世纪来许多学者进行大量临床观察和基础研究,证实在男性不育诸多因素中精索静脉曲张占首位。同时还发现精索静脉曲张引起的不育症,手术后确有一部份患者恢复生育能力。但综合文献报道,术后精子数目增加,精液质量改善的患者约50～85%,而配偶妊娠率仅占30～50%,仍有半数以上患者不育。本文旨在探讨术后不育的原因.
Since 1880 Barfield proposed varicocele can cause infertility, this issue has attracted people’s attention. For more than a century, many scholars conducted a large number of clinical observations and basic research, confirming the prevalence of varicocele in many factors of male infertility. Also found that varicocele caused infertility, after surgery does have some patients to restore fertility. However, according to the comprehensive literature, the number of postoperative sperm increased, semen quality improved about 50 to 85% of patients, while the spouse pregnancy rate was only 30 to 50%, and still more than half of patients with infertility. This article aims to investigate the causes of postoperative infertility.