首页|血管塞与弹簧圈联合介入栓塞治疗精索静脉曲张

血管塞与弹簧圈联合介入栓塞治疗精索静脉曲张

Interventional embolization using vascular plug together with spring coil for the treatment of varicocele

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目的 观察血管塞与弹簧圈联合介入栓塞术在精索静脉曲张治疗中的效果.方法 对2022 年 3 月至 2022 年 10 月本院收治的 15 例重度精索静脉曲张患者,经左肘部静脉途径或股静脉途径行血管塞与弹簧圈联合介入栓塞,对即时手术成功率、并发症、手术时间、平均住院时间、术后疗效等进行观察研究.结果 所有 15 例患者均成功完成血管塞与弹簧圈联合介入栓塞术,围手术期无并发症,手术时间(19±12)min,平均住院时间 2.3d,15 例患者术后随访 1 个月,阴囊曲张静脉明显缩小、会阴部坠胀感明显改善.结论 血管塞与弹簧圈联合介入栓塞术治疗精索静脉曲张效果确切、操作简便、患者舒适、恢复快、并发症少,是一项值得进一步研究观察的治疗方法.
Objective To discuss the curative effect of interventional embolization using vascular plug together with spring coil in treating varicocele.Methods A total of 15 patients with varicocele,who were admitted to authors'hospital between March 2022 and October 2022 to receive treatment,were enrolled in this study.Interventional embolization therapy by using vascular plug together with spring coil via the left elbow vein access or via the femoral vein access was carried out in all the 15 patients.The instant surgical success rate,complications,time spent for operation,average hospital stay,and postoperative clinical efficacy were recorded and analyzed.Results Successful interventional embolization using vascular plug together with spring coil was accomplished in all the 15 patients,and no complications occurred during the perioperative period.The time spent for operation was(19±12)min,and the average hospital stay was 2.3 days.The patients were followed up for one month,the degree of the scrotal varices was obviously improved,and the swelling feeling of the perineum was significantly reduced.Conclusion For the treatment of varicocele,the interventional embolization using vascular plug together with spring coil carries certain advantages,such as reliable curative effect,easy to operate,patient being more comfortable,fast recovery,and less complications.Therefore,this technique is a therapeutic approach worth further investigation.(J Intervent Radiol,2024,32:73-76)

vascular plugmedian cubital veininterventional embolizationvaricocele

曹治列、符二、曹俊雄、吴丹宁、诸治栋、陈翔

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310004 浙江杭州解放军联勤保障部队第 903医院泌尿外科

310004 浙江杭州解放军联勤保障部队第 903医院心血管科

血管塞 肘正中静脉 介入栓塞术 精索静脉曲张

2024

介入放射学杂志
上海市医学会

介入放射学杂志

CSTPCD北大核心
影响因子:1.866
ISSN:1008-794X
年,卷(期):2024.33(1)
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