精索静脉结扎术是近年治疗精索静脉曲张最流行的方法。但有些作者发现手术病人与未手术病人比较未能增加生育能力。有人提出因间质细胞的睾酮生物合成障碍致睾内睾酮降低是精子发生异常的原因,另外文持细胞功能障碍也与少精症的发生有关。药物刺激一种或二种细胞成分,可改善精索静脉曲张病人中的精子参数。因此手术后或禁忌手术者,药物治疗可以是恢复生育的另一途径。本文目的是研究精索静脉曲张的药物治疗比手术好还是差。 Varicocele ligation is the most popular treatment for varicocele in recent years. However, some authors found that surgical patients did not increase fertility compared with nonsurgical patients. It was suggested that interstitial cell testosterone biosynthesis disorder caused by reduced testosterone is the cause of abnormal spermatogenesis, while supporting cell dysfunction is also associated with the occurrence of oligozoospermia. Drugs to stimulate one or two cell components, can improve sperm parameters in patients with varicocele. Therefore, after surgery or taboo surgery, drug treatment can be another way to restore fertility. The purpose of this article is to investigate whether medications for varicocele are better or worse than those for surgery.