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Zhonghua nankexue ; Zhonghua nankexue;(12): 798-803, 2017.
Artículo en Chino | WPRIM | ID: wpr-812876

RESUMEN

Objective@#To investigate the clinical effect and feasibility of internal spermatic vein-inferior epigastric vein (ISV-IEV) bypass surgery in the treatment of varicocele complicated by left renal vein nutcracker syndrome (NCS).@*METHODS@#We retrospectively analyzed the clinical data about 30 cases of varicocele with left renal vein NCS treated by ISV-IEV bypass surgery in our hospital from June 2014 to February 2017. We reviewed the follow-up data and results of ultrasonography, routine urianlysis and semen routine examination.@*RESULTS@#All the operations were successfully accomplished and postoperative color Doppler ultrasonography showed that varicocele was cured in all the cases. At 6 months after surgery, sperm concentration and the percentage of grade a+b sperm were significantly improved ([34.47 ± 8.60] ×10⁶/ml and [63.54% ± 9.58] %) as compared with the baseline ([19.90 ± 8.97] ×10⁶/ml and [37.93 ± 8.73] %) (P <0.05). Hematuria was cured in 23 and alleviated in 1 of the 24 cases. Proteinuria disappeared in all the 14 cases, with neither scrotal pain symptoms nor obvious complications.@*CONCLUSIONS@#ISV-IEV bypass surgery, with its advantages of safety, effectiveness, minimal invasiveness, and simple operation, deserves wide clinical application in the treatment of varicocele with left renal vein NCS.


Asunto(s)
Humanos , Masculino , Anastomosis Quirúrgica , Métodos , Estudios de Factibilidad , Hematuria , Cirugía General , Microcirugia , Métodos , Proteinuria , Cirugía General , Síndrome de Cascanueces Renal , Venas Renales , Estudios Retrospectivos , Ultrasonografía , Ultrasonografía Doppler en Color , Varicocele , Diagnóstico por Imagen , Cirugía General , Procedimientos Quirúrgicos Vasculares , Métodos , Venas , Cirugía General
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