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男性不育与曲张的轻重有密切关系,根据体征将精索静脉曲张分为4度。住院手术310例中,并存患侧睾丸萎缩者占10.9％,曲张较重的52例术前检查精液,精子数在4千万以下者高达63.4％。局部温度升高,导致双侧睾丸生精障碍而不育,8例作了术前术后睾丸液晶热象图测温检查。术中患侧精索静脉造影发现二侧精索间有明显的交通支,提出一侧精索静脉曲张,可导致双侧精索静脉丛淤血。手术组双侧曲张者占4.2％(13/310),仅2例为双侧返流型。术后复发5例,均系术中漏扎所致。31.6％在术中可发现精索后组静脉曲张,对手术方法提出了意见。
Male infertility and varicose weight are closely related, according to the signs of varicocele is divided into 4 degrees. 310 cases of hospitalized patients, coexisting ipsilateral testicular atrophy accounted for 10.9%, varicose 52 cases of preoperative semen, sperm count less than 40 million up to 63.4%. Local temperature, resulting in bilateral testicular spermatogenesis disorders and infertility, 8 patients were preoperative and postoperative testicular liquid crystal thermogram temperature examination. Intraoperative spermatic venous angiography found that the two sides of the spermatic cord between the obvious transport branch, proposed side of varicocele, can lead to bilateral varicocele congestion. The patients in the operation group had bilateral varices (4.2%) (13/310), while only 2 patients had bilateral reflux. Postoperative recurrence in 5 cases, all due to surgical leakage. 31.6% Intraoperative varicocele can be found in the varicocele, the views on the surgical methods.