显微镜下分流术治疗精索静脉曲张合并“胡桃夹”综合征的临床研究

发布时间：2018-04-20 03:39

本文选题：精索静脉曲张 + 胡桃夹综合征　；参考：《中华男科学杂志》2017年09期

【摘要】：目的:总结"显微镜下精索内静脉腹壁下静脉分流术"治疗精索静脉曲张合并左肾静脉胡桃夹综合征的临床疗效及可行性。方法:回顾性分析河南省人民医院泌尿外科2014年6月至2017年2月施行"显微镜下精索内静脉腹壁下静脉分流术"30例患者的临床资料,随访并复查彩超、尿常规、精液常规资料。结果:30例患者手术均获得成功,术后6个月复查彩超静脉曲张治愈,精子浓度和(a+b级)精子活力术后6个月复查分别为(34.47±8.60)×10~6/ml和(63.54±9.58)%,较术前(19.90±8.97)×10~6/ml和(37.93±8.73)%明显改善(P0.05)。24例镜下血尿中23例镜下血尿消失,1例减轻;14例尿蛋白阳性,患者尿蛋白均消失,阴囊疼痛等症状均消失,未出现明显并发症。结论:"显微镜下精索内静脉腹壁下静脉分流术"治疗精索静脉曲张合并胡桃夹综合征安全有效,创伤小,操作简单,适合在临床推广。
[Abstract]:Objective: to summarize the clinical efficacy and feasibility of microscopical subabdominal venous shunt in the treatment of varicocele with left renal vein nutcracker syndrome. Methods: the clinical data of 30 patients undergoing subabdominal venous shunt under microscope in urology department of Henan Provincial people's Hospital from June 2014 to February 2017 were analyzed retrospectively. The data of color Doppler ultrasound, routine urine routine and semen routine were followed up. Results all the 30 cases were successfully operated, and the varicose veins were cured by color Doppler ultrasonography 6 months after operation. Sperm concentration and sperm motility were 34.47 卤8.60 脳 10~6/ml and 63.54 卤9.58g respectively 6 months after operation, which were significantly better than those before operation (19.90 卤8.97) 脳 10~6/ml and 37.93 卤8.73g% respectively. 23 cases of microscopical hematuria disappeared and 1 case decreased urinary protein positive in 14 cases. Scrotal pain and other symptoms disappeared without obvious complications. Conclusion: the treatment of varicocele with nutcracker syndrome under microscope is safe, effective, easy to operate and suitable for clinical application.
【作者单位】：河南省人民医院/郑州大学人民医院泌尿外科;
【基金】：河南省自然科学基金资助项目(162300410309) 河南省男科学基础与临床研究院士工作站基金项目(豫科[2010]104号)~~
【分类号】：R699.8

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