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目的探讨经皮导管引导下的泡沫硬化剂疗法治疗精索静脉曲张的临床效果。方法选择2008年到2010年就诊于解放军总医院血管外科诊断为精索静脉曲张的患者共16例,经皮穿刺导管引导左侧精索静脉主干内注射1%聚桂醇泡沫硬化剂,观察静脉主干的闭合情况。结果所有病例均在导管引导下成功注射硬化剂,平均应用泡沫硬化剂5.9 ml(5～8ml)。术后随访时间1～24个月,16例患者中,11例1次泡沫硬化剂注射达到满意治疗效果;5例患者接受2次泡沫硬化剂治疗,3例联合弹簧圈栓塞精索静脉,1例同时行右侧精索静脉造影,泡沫硬化剂栓塞治疗,所有病例治疗效果满意,2例患者术中出现一过性干咳。全组病例未发生严重并发症。结论经皮穿刺导管引导的泡沫硬化剂疗法治疗精索静脉曲张是一种有效的微创治疗方法。
Objective To investigate the clinical effect of percutaneous catheter-guided foam sclerotherapy in the treatment of varicocele. Methods A total of 16 patients diagnosed as varicocele in Department of Vascular Surgery, People’s Liberation Army General Hospital from 2008 to 2010 were selected. Percutaneous catheter was used to guide the left main varicocele with 1% Trunk closed situation. Results All cases were successfully injected with catheters under the guidance of catheters. The average dose of foam sclerotherapy was 5.9 ml (5-8 ml). The follow-up time ranged from 1 to 24 months. Out of the 16 patients, 11 cases of primary foam sclerotherapy achieved satisfactory results. Five patients received foam sclerotherapy and three cases received co-coil embolization of the varicocele. For example, the right spermatic vein angiography, foam sclerotherapy embolization, satisfactory results in all cases, 2 patients had transient dry cough intraoperative. No serious complications occurred in all the cases. Conclusion Percutaneous catheter-guided foam sclerotherapy for varicocele is an effective minimally invasive treatment.