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首页> 外文期刊>BJU international >Antegrade scrotal sclerotherapy in the treatment of varicocele: a prospective study.
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Antegrade scrotal sclerotherapy in the treatment of varicocele: a prospective study.

机译：整合阴囊硬化疗法治疗精索静脉曲张：前瞻性研究。

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OBJECTIVE: To assess the results of our experience in correcting primary varicocele using a modified technique of antegrade scrotal sclerotherapy. PATIENTS AND METHODS: From December 1997 to February 2000, 201 patients with primary varicocele underwent antegrade scrotal sclerotherapy. Before treatment all patients were evaluated by a physical examination, colour Doppler ultrasonography of the spermatic cord, and abdominal and scrotal ultrasonography. Sperm samples were analysed only in patients aged > 18 years. The treatment was administered using a special venous catheter system with a Y-adapter. Complications after treatment and the rate of persistence of reflux were assessed 3 and 6 months after the antegrade scrotal treatment, by clinical examination and colour-Doppler ultrasonography of the spermatic cord. RESULTS: The mean operative duration was 15 min; there were no significant complications during treatment and all patients were discharged within 4 h. Complications after treatment occurred in 10 of the 201 patients (5%); four patients had epididymo-orchitis, three a scrotal haematoma, one a surgical wound infection, one persistent scrotal pain and one persistent flank pain on the same side as the surgery. Reflux was persistent in 12 patients (6%). CONCLUSIONS: Antegrade scrotal sclerotherapy is a simple, minimally invasive and highly effective technique for blocking spermatic vein reflux, with a low rate of complications. The technical changes simplified the cannulation of the spermatic vein and facilitated antegrade phlebography and sclerotherapy using the air-block technique.
机译：目的：评估我们使用改良的顺行阴囊硬化疗法纠正原发性精索静脉曲张的经验结果。患者与方法：自1997年12月至2000年2月，对201例原发性精索静脉曲张患者进行顺行阴囊硬化治疗。在治疗前，对所有患者进行体格检查，精索彩色多普勒超声检查以及腹部和阴囊超声检查。仅在年龄大于18岁的患者中分析精子样本。使用具有Y适配器的特殊静脉导管系统进行治疗。阴囊顺行治疗后3个月和6个月，通过临床检查和彩色多普勒超声检查精索的治疗后并发症和持续反流率。结果：平均手术时间为15分钟。治疗期间无明显并发症，所有患者均在4小时内出院。 201名患者中有10名发生了治疗后并发症（5％）; 4例患有附睾睾丸炎，3例阴囊血肿，1例外科伤口感染，1例阴囊持续性疼痛和1例持续性侧胁疼痛。 12例（6％）持续反流。结论：阴囊巩膜硬化疗法是一种简单，微创且高效的技术，可阻断精索静脉回流，并发症发生率低。技术上的变化简化了精静脉的插管，并使用气阻技术促进了顺行静脉造影和硬化疗法。

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