聚多卡醇联合弹簧圈栓塞治疗精索静脉曲张的临床疗效

临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (1): 22-.

聚多卡醇联合弹簧圈栓塞治疗精索静脉曲张的临床疗效

潍坊医学院附属医院血管介入外科，山东潍坊 261031

出版日期:2022-01-01 发布日期:2022-03-22

Clinical analysis of Polidocanol combined with Coil embolization in the treatment of varicocele

Endovascular and Vascular Surgery Department of Affiliated Hospital of Weifang Medical University, Shandong Weifang 261031,China

Online:2022-01-01 Published:2022-03-22

摘要/Abstract

摘要：

目的分析聚多卡醇联合弹簧圈栓塞治疗精索静脉曲张的临床疗效。方法对2017 年2 月至2020 年2 月潍坊医学院附属医院收治的28 例精索静脉曲张患者进行经聚多卡醇联合弹簧圈栓塞治疗，观察患者术前及术后静脉反流、精液改善质量情况并随访12 个月，评估栓塞治疗效果。结果 28 例精索静脉曲张患者均接受栓塞治疗。术后经精索静脉超声检查，患者精索静脉反流程度均减轻或消失。术前平均精液量（2.54±0.33）ml，术后6 个月、12 个月分别升高至（3.18±0.21）ml、（3.42±0.18）ml。术前平均精子密度（21.55±3.74）×106 个/ml，术后6 个月、12 个月分别升高至（31.46±4.02）×106 个/ml、（34.69±3.77）×106 个/ml。术前平均精子活率（46.31±4.95）%，术后6 个月、12 个月分别升高至（56.47±5.07）%、（59.19±5.17）%。结论聚多卡醇联合弹簧圈栓塞治疗精索静脉曲张疗效显著。

关键词: 介入栓塞, 聚多卡醇, 弹簧圈, 精索静脉曲张

Abstract:

Objective To analyze the clinical effect of Polidocanol combined with Coil embolization in the treatment of varicocele. Method 28 cases of varicocele in Affiliated Hospital of Weifang Medical University from February 2017 to February 2020 were treated with Polidocanol combined with coil embolization. Venous reflux and semen quality improvement were observed before and after operation, and all patients were follow-up for 12 months. The efficacy of embolization therapy were evaluate. Result All 28 patients with varicocele were embolized. After operation, the reverse flow degree of spermatic vein was reduced or disappeared. The average semen volume before operation was (2.54±0.33)ml, which increased to(3.18±0.21)ml and (3.42±0.18)ml at 6 and 12 months after operation, respectively. The average sperm density before operation was (21.55±3.74)×106/ml, increased to (31.46±4.02)×106/ml and (34.69±3.77)×106/ml at 6 and 12 months after operation. The average sperm motility rate before operation was (46.31±4.95)%, 6 and 12 months after operation, which increased to (56.47±5.07)% and

(59.19±5.17)%, respectively. Conclusion Polidocanol combined with Coil embolization in the treatment of Varicocele is effective.

Key words: Interventional embolization, Polidocanol, Coil, Varicocele

王鹏, 王凯, 赵凯, 李明鑫, 蹇兆成, 张国庆, 陈俊良, 孙顺吉. 聚多卡醇联合弹簧圈栓塞治疗精索静脉曲张的临床疗效 [J]. 临床普外科电子杂志, 2022, 10(1): 22-.

WANG Peng, WANG Kai, ZHAO Kai, LI Mingxin, JIAN Zhaocheng, ZHANG Guoqing, CHEN Junliang, SUN Shunji. Clinical analysis of Polidocanol combined with Coil embolization in the treatment of varicocele [J]. Journal of General Surgery for Clinicians, 2022, 10(1): 22-.