辅助生殖时代的显微精索静脉曲张手术的研究进展  

Advance in microsurgical varicocelectomy in the era of assisted reproduction

作　　者：杨嘉豪 柳良仁[1] 陈波[1] 李晋[1] 陈泽昱 黄引 曹德宏[1] 王普泽 冉标 YANG Jiahao;LIU Liangren;CHEN Bo;LI Jin;CHEN Zeyu;HUANG Yin;CAO Dehong;WANG Puze;RAN Biao(Department of Urology/Institute of Urology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院泌尿外科/泌尿外科研究所,成都610041

出　　处：《华西医学》2025年第4期649-653,共5页West China Medical Journal

基　　金：国家重点研发计划(2022YFC3602905);国家自然科学基金(81200551)。

摘　　要：显微精索静脉曲张手术(microsurgical varicocelectomy,MVC)是目前治疗精索静脉曲张的金标准。研究表明MVC能够给精索静脉曲张合并男性不育的患者带来一定的临床益处。在如今的新辅助生殖时代,临床上通常会在采用辅助生殖技术(assisted reproductive technology,ART)治疗前通过MVC来改善ART的结局。该文总结了MVC联合ART的疗效评价以及成本效益。虽然缺乏前瞻性研究证据,但许多大型回顾性研究显示在ART前行MVC可能改善ART结局,但仍需大规模、标准化的临床试验来进一步验证ART前行MVC的有效性和可行性。Microsurgical varicocelectomy(MVC)is the current gold standard for the treatment of varicocele.Studies have shown that MVC can bring certain clinical benefits to patients with varicocele and male infertility.In today’s era of assisted reproduction,MVC is clinical used usually to improve ART outcomes before treatment with assisted reproductive technology(ART).This article summarizes the efficacy evaluation and cost-effectiveness of MVC combined with ART.Although there is a lack of prospective evidence supporting MVC before ART,many large retrospective studies have shown that operating MVC before using ART may improve ART outcomes.However,large-scale and standardized clinical trials are still needed to further verify the effectiveness and feasibility of MVC before ART.

关 键 词：显微精索静脉曲张手术 辅助生殖技术 精索静脉曲张 男性不育 

分 类 号：R699.8[医药卫生—泌尿科学]