CAJ | 학술논문

目的尝试采用精索静脉曲张彩色多普勒分度方法作为手术入路选择标准的可行性,优化术式选择,进一步提高精索静脉曲张手术治疗效果.方法对310例(342侧)精索静脉曲张依据术前精索静脉彩色多普勒分度情况而选取不同的手术入路部位,并进行精索静脉结扎手术.结果依据彩色多普勒诊断精索静脉曲张Ia、Ib度者采用外环下精索静脉显微解剖结扎术(113侧);彩色多普勒诊断精索静脉曲张Ⅱ、Ⅲ度,采用小切口腹膜后或腹腔镜精索静脉高位结扎术(229侧).所有病例均获满意疗效,随访6 ～28个月,复发7侧,并发症3侧.结论精索静脉彩色多普勒分度可为手术入路选择提供客观参考标准,可行,以此进行术式优化选择后,精索静脉曲张手术治疗具有复发率更低,疗效佳.但因缺乏对照,有待进一步完善与研究.
목적 상시채용정색정맥곡장채색다보륵분도방법작위수술입로선택표준적가행성,우화술식선택,진일보제고정색정맥곡장수술치료효과.방법 대310례(342측)정색정맥곡장의거술전정색정맥채색다보륵분도정황이선취불동적수술입로부위,병진행정색정맥결찰수술.결과 의거채색다보륵진단정색정맥곡장Ia、Ib도자채용외배하정색정맥현미해부결찰술(113측);채색다보륵진단정색정맥곡장Ⅱ、Ⅲ도,채용소절구복막후혹복강경정색정맥고위결찰술(229측).소유병례균획만의료효,수방6 ～28개월,복발7측,병발증3측.결론 정색정맥채색다보륵분도가위수술입로선택제공객관삼고표준,가행,이차진행술식우화선택후,정색정맥곡장수술치료구유복발솔경저,료효가.단인결핍대조,유대진일보완선여연구.
Objectives To evaluate the feasibility of color doppler ultrasound graded in choice operative site for varicocelectomy,and the effect of it should be further enhances.Methods 342 sides (310 cases) of varicocele based on preoperative color doppler spermatic vein circumstances of sub-degree and select a different site of operation for varicocelectomy.Results According to the color doppler diagnosis of spermatic vein Ia and Ib degrees,113 sides were chose the outer ring of spermatic vein ligation microanatomy ( microsurgical subingunal varicocelectomy).Color doppler diagnosis of spermatic vein Ⅱ and Ⅲ degrees,229 sides were chose small incision retroperitoneal or laparoscopic high ligation of spermatic vein.All cases attain the satisfactory effect,7 sides of recurrence,and 3 sides of the complications.Conclusions Spermatic vein Doppler color grading technique can be used as reference standards of choice operative site for varicocelectomy,but due to the lack of contrast,and research to be further improved.