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本文报道1976~1986年,耶路撒冷Nadassah大学医院对82例男性不育行精索静脉结扎术(SVL)。术前不育期限5~126月(平均28个月)。直立体位检查,用Valsalva手法。根据病损程度分为Ⅰ级,仅在Valsalva手法下可触及;Ⅱ级,可触及但肉眼看不见;Ⅲ级,明显可见。SVL手术适应症:病人除有任何一级的精索静脉曲张,至少二种精液测试中三项主要的精子参数中一或多项异常,精子数<20×10~6/ml)活动率<50%;形态正常的<50%。本组术前精子数在0~122.5×10~6/ml(平均18×10~6),活动率0~64%(平均45%),畸形3~90%(平均25%)。患有
This article reports 82 male infertility spermatic vein ligation (SVL) from 1976 to 1986 at the Nadassah University Hospital in Jerusalem. Preoperative infertility period of 5 to 126 months (an average of 28 months). Erect posture check with Valsalva technique. According to the degree of injury is divided into Ⅰ-level, only in the Valsalva approach accessible; Ⅱ level, accessible but not visible to the naked eye; Ⅲ level, obviously visible. SVL Surgery Indications: Patients with any one grade of varicocele, one or more of the three major sperm parameters in at least two sperm tests, sperm count <20 × 10-6 / ml) Activity rate < 50%; normal morphology <50%. The preoperative sperm count ranged from 0 to 122.5 × 10 ~ 6 / ml (average 18 × 10 ~ 6), with activities ranging from 0 to 64% (average 45%) and deformities ranging from 3 to 90% (average 25%). Suffering