显微精索静脉结扎术治疗复发性精索静脉曲张(附37例报告)  

Microsurgical varicocelectomy in the treatment of recurrent varicocele(Report of 37cases)

作　　者：周明宽 张亚东[1] 吕坤龙[1] 庄锦涛[1] 赵亮[1] 余敬威 邓春华[1] 涂响安[1] ZHOU Mingkuan;ZHANG Yadong;LV Kunlong;ZHUANG Jintao;ZHAO Liang;YU Jingwei;DENG Chunhua;TU Xiang＇an(Department of Andrology,First Affiliated Hospital of Sun Yat-Sen University,Guangzhou,510080,China)

机构地区：[1]中山大学附属第一医院男科,广州510080

出　　处：《临床泌尿外科杂志》2018年第8期620-622,632,共4页Journal of Clinical Urology

基　　金：国家自然科学基金(编号81172432;81471449;81671449);广东省科技计划项目(编号2016B030230001;2013B051000021;2016A020214004;2016A020218007);广州市科技计划项目(编号2013J4500010;201604020189)

摘　　要：目的:探讨复发性精索静脉曲张(VC)经腹股沟下显微精索静脉结扎术治疗的疗效。方法:回顾性分析2012年1月~2016年12月我院收治的37例复发性VC患者的临床资料及术后3、6、12个月的回访资料,分析术后疗效。结果:复发性VC患者平均手术时间为82.6min,手术结扎左侧精索内静脉条数平均12.8条,术后疼痛缓解率为89.7%。不育患者配偶自然妊娠率为40.0%。所有患者随访均无睾丸萎缩和鞘膜积液发生。结论:腹股沟下显微精索静脉结扎术治疗复发性VC安全、有效,长期效果仍需进一步大样本、多中心前瞻性研究。Objective：To investigate the curative effects of recurrent varicocele treated by subinguinal microsurgical varicocelectomy.Method：From January 2012 to December 2016,there were 37 patients with recurrent varicocele who received subinguinal microsurgical varicocelectomy.The number of spermatic veins and curative effects were recorded.The effects of surgeries were observed through follow-up visits at 3,6 and 12 months after the operation.Result：The average time of patients with recurrent varicocele was 82.6 min,and the mean number of internal spermatic veins ligated on the left side was 12.8.The rate of postoperative pain remission was 89.7%,and the spontaneous pregnancy rate was 40.0%.No patients experienced postoperative complications as testicular atrophy or hydrocele.Conclusion：Subinguinal microsurgical varicocelectomy is a safe and effective treatment for recurrent vacicocele,but further large sample and multicenter prospective studies are still needed to confirm the long-term effects.

关 键 词：复发性 精索静脉曲张 显微手术 结扎术 

分 类 号：R697[医药卫生—泌尿科学]