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目的:探讨泡沫硬化剂栓塞治疗精索静脉曲张(varecocle,VC)的疗效。方法:选择VC患者58例,采用经导管泡沫硬化剂栓塞治疗,对比分析栓塞前后精索静脉主干内径、精液质量的变化,分析其疗效。结果:术后5～30d阴囊坠胀不适等症状消失18例(31.0%),术后3个月曲张的静脉内径小于1.8mm者48例(82.8%),大于1.8mm者10例(17.2%),术后6个月与术前相比,患者精子密度、a+b级精子活力、精子活动率显著升高,精子畸形率明显降低,两组间差异有统计学意义(P<0.05)。结论:导管引导下泡沫硬化剂治疗VC疗效确切,能够显著改善VC患者疼痛等不适,提高VC患者精液质量,是一种值得推荐的方法。
Objective: To investigate the curative effect of foam sclerotherapy on varecocle (VC). Methods: Fifty-eight patients with VC were selected and treated with catheterized foam sclerotherapy. The changes of sphincter diameter and sperm quality before and after embolization were compared and analyzed. Results: 18 cases (31.0%) had symptoms of scrotum discomfort 5 ~ 30 days after operation, 48 cases (82.8%) had varicose veins less than 1.8mm at 3 months after operation, 10 cases (17.2% ), Sperm densities, a + b sperm motility and sperm motility were significantly increased and sperm deformity rate was significantly decreased at 6 months after operation compared with that before operation. The difference between the two groups was statistically significant (P0.05) . Conclusions: Catheter-directed foam sclerotherapy is effective in treating VC. It can significantly improve the pain and discomfort of patients with VC and improve the quality of semen in patients with VC. It is a recommended method.