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首页> 外文期刊>Journal of Andrology >The evaluation of saphenofemoral insufficiency in primary adult varicocele.
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The evaluation of saphenofemoral insufficiency in primary adult varicocele.

机译：初发成人精索静脉曲张隐股功能不全的评估。

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The aim of this study was to evaluate the possible relationship between varicocele and saphenofemoral insufficiency in patients diagnosed with primary varicocele. A total of 70 patients with the primary diagnosis of varicocele were included into the study. A total of 30 age-matched healthy adults were also included in the study as a control group. Varicocele was diagnosed by palpation and observation of each spermatic cord in standing position before and during a valsalva maneuver. Additionally, scrotal Doppler and lower extremity venous Doppler ultrasonography were performed. Patients who were with spermatic varicose vein larger than 3.0 mm were included in the study group as a varicocele patient. At the lower extremity venous Doppler ultrasonography, a retrograde flow lasting longer than 0.5 seconds during normal breathing or at the valsalva maneuver was considered to be meaningful for saphenofemoral junction insufficiency. Thirty-six (51.35%) patients had insufficiency in saphenofemoral junction in the study group (6 [8.5%] bilateral, 30 [42.85%] unilateral) whereas 8 (26.6%) had insufficiency in the control group (2 [6.6%] bilateral, 6 [20%] unilateral insufficiency). The patients with primary varicocele had a statistically significant (P = .02) higher rate of venous insufficiency in their saphenofemoral junctions when compared with the control group. In the present study, the rate of saphenofemoral insufficiency has been found to be statistically higher in patients with primary varicocele compared with healthy men. Depending on the common presence of valvular insufficiency, we believe that the presence of varicocele should be investigated in the young population suffering from saphenofemoral junction insufficiency.
机译：这项研究的目的是评估诊断为原发性精索静脉曲张的精索静脉曲张与and股功能不全之间的可能关系。共有70名初诊为精索静脉曲张的患者被纳入研究。总共30名年龄匹配的健康成年人也被纳入研究作为对照组。精索静脉曲张的诊断方法是通过触诊和观察每只精索在站立和操作valsalva之前和站立期间的状态。此外，进行阴囊多普勒和下肢静脉多普勒超声检查。精索静脉曲张大于3.0 mm的患者作为精索静脉曲张患者纳入研究组。在下肢静脉多普勒超声检查中，在正常呼吸期间或在瓣膜操作中逆行血流持续时间超过0.5秒被认为对于sa股交界处功能不全很有意义。在研究组中，三十六名（51.35％）患者的蝶股交界处不全（双边6例[8.5％]，单侧30例[42.85％]），而对照组8例（26.6％）虚假（2 [6.6％]）。双边，6 [20％]单方面的供血不足）。与对照组相比，原发性精索静脉曲张患者隐股静脉交界处静脉功能不全的发生率具有统计学意义（P = .02）。在本研究中，与健康男性相比，原发性精索静脉曲张患者的隐股肌功能不全发生率在统计学上更高。取决于常见的瓣膜功能不全，我们认为应该在患有股股交界功能不全的年轻人群中研究精索静脉曲张的存在。

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