精索静脉曲张的各种疗效新进展

New Advances in the Various Therapeutic Effects of Varicocele

摘要: 精索静脉曲张是由阴囊内的精索内静脉和鳍状静脉丛的扩张引起的，可导致男性睾丸的生精功能下降，进而导致男性不育，其具体机制尚不确定，是男性原发性不育的最常见的原因之一。本文预通过从原发性和继发性的病因学及其精索静脉曲张的解剖作为基础，让我们更深入地认识精索静脉及其男性不育。其次，介绍了精索静脉曲张的几种治疗方法，同时比较了各种手术方法在自然妊娠率、复发率、并发症、手术时间等当面的差异，进而得出各种手术的治疗效果，目的是为患者选择最佳的手术方法。对比各种手术方法，显微外科手术对于精索静脉曲张的治疗在自然妊娠率及并发症方面优于其他方法。

Abstract: Varicocele is caused by the expansion of the intracocele veins and the fin vein plexus in the scrotum, which can lead to a decrease in the spermatogenic function of the male testicles, which in turn leads to male infertility, the specific mechanism of which is not yet uncertain, and is one of the most common causes of primary infertility in men. This article provides a deeper understanding of the spermatic vein and its male infertility by starting from primary and secondary etiology and the anatomy of varicocele. Secondly, several treatment methods of varicocele are introduced, and the differences in the natural pregnancy rate, recurrence rate, complications, and operation time of various surgical methods are compared, and the treatment effect of various surgeries is obtained, with the purpose of selecting the best surgical method for patients. Compared with various surgical methods, microsurgery is superior to other methods in the treatment of varicocele in terms of natural pregnancy rates and complications.