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应用ISV栓塞术治疗50例60条ISV曲张,结果:在48条左ISV中,插管造影和栓塞成功率分别为95.8%和89.6%,12条右ISV则分别为91.7%和66.7%,均无复发。20例病人在术前后测阴囊内外和睾丸内温度,发现术前阴囊内温度升高者多于其它部位,术后1个月内各部位温度正常。作者认为,选择性ISV插管与导管塑形有密切关系,右侧ISV插管方法有其特点;对栓塞剂的选择应根据ISV造影情况决定,要避免栓塞剂使用不当所致的并发症。并指出,阴囊内温度对血流变化较为敏感,可作为疗效预测的指标之一。
Fifty 60 patients with ISV varices were treated with ISV embolization. Results: The success rates of intubation and embolization were 95.8% and 89.6% respectively in the 48 left ISVs, and 91.7% and 66.7% in 12 right ISVs No recurrence. Twenty patients underwent preoperative and postoperative examinations of the temperature inside and outside the scrotum, and found that the temperature in the preoperative scrotal was more than that in other sites. The temperature of each site was normal within 1 month after operation. The authors believe that selective ISV intubation and catheterization are closely related to the right side of the ISV intubation method has its own characteristics; the choice of embolic agent should be based on the situation of ISV angiography decision, to avoid embolic agent caused by improper use of complications. And pointed out that the temperature inside the scrotum is more sensitive to changes in blood flow can be used as one of the indicators of efficacy prediction.