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近年来,对精索静脉曲张患者精子发生(Spermioqram)的改善及精索静脉结扎后生育力的研究有大量报道。Klosterhalfen等报告519例精索静脉曲张术后精子发生有改善者占83%,受孕率为20%。Dubin等在504例精索静脉曲张术后患者中,证实精子发生有改善者占71%,受孕者为55%。本文复查的40例患者中,初孕率53%。而Meili报告,精子发生有改善者占23%,受孕率仅为7%。上述结果虽然不同,但手术治疗精索静脉曲张对不育症来说仍有较高价值。作者对原发性左侧精索静脉曲张术后4至8年的77例患者进行了复查。35例(45%)是
In recent years, the study of varicocele sperm (spermioqram) improvement and fertility after spermatic vein ligation have been extensively reported. Klosterhalfen and other reports of 519 cases of spermatic varicocele improved sperm accounted for 83%, the pregnancy rate was 20%. In 504 patients with sino-varicose veins, Dubin et al. Demonstrated that spermatogenesis was improved by 71% and conception was 55%. This review of 40 patients, the initial pregnancy rate of 53%. The Meili report, sperm improvement accounted for 23%, the pregnancy rate was only 7%. Although the above results are different, but the surgical treatment of varicocele is still of high value for infertility. The authors reviewed 77 patients 4 to 8 years after primary left varicocele. 35 cases (45%) were