双侧精索静脉曲张行左侧精索静脉腹壁下静脉搭桥术的疗效观察  

Effect observation on left spermatic vein inferior epigastric vein bypass surgery in treatment of bilateral varicocele

作　　者：刘焜[1] 赵色玲[1] 江城[1] 陈世伟[1] 

机构地区：[1]解放军第174医院泌尿外科,福建厦门361003

出　　处：《临床军医杂志》2012年第1期19-20,共2页Clinical Journal of Medical Officers

摘　　要：目的探索双侧精索静脉曲张仅行左侧精索静脉腹壁下静脉搭桥术的疗效。方法 45例双侧精索静脉曲张患者,在腰硬联合麻醉下行左侧精索静脉腹壁下静脉搭桥术,右侧不做治疗。结果 45例患者中右侧精索静脉曲张轻度33例,中度12例,术后3～12个月彩色多普勒超声复查,双侧精索静脉血流反流信号均消失,右侧精索静脉40例转为正常,5例转为轻度;左侧33例正常,12例转为轻度。结论双侧精索静脉曲张右侧不做治疗,行左侧精索静脉腹壁下静脉搭桥术是安全、有效的。Objective To explore the curative effect of left spermatic vein inferior epigastric vein bypass surgery in treatment of bilateral varicocele.Methods all 45 cases of bilateral varicocele underwent left spermatic vein inferior epigastric vein bypass surgery with combined spinal epidural anesthesia,right hand side was untreated.Results Among 45 patients,there were 33 cases with mild right varicocele,moderate in 12 cases,3～12 months after surgery receive the color Doppler ultrasound review,it showed that the blood reflux signals of bilateral spermatic vein were disappear,right spermatic vein restored to normal in 40 cases,to mild in 5 cases;left spermatic vein restored to normal in 33 cases,to mild in 12 cases.Conclusion Patients with bilateral varicocele underwent left spermatic vein inferior epigastric vein bypass surgery without right hand side treatment is safe and effective.

关 键 词：精索静脉曲张 疗效 腹壁下静脉 搭桥术 

分 类 号：R697.24[医药卫生—泌尿科学]