采用陶伯顺行阴囊硬化疗法治疗儿童及青少年精索静脉曲张。
Treatment of varicoceles in childhood and adolescence with Tauber's antegrade scrotal sclerotherapy.
作者信息
Fette A, Mayr J
机构信息
Department of Paediatric Surgery, Karl-Franzens-University, Graz, Austria.
出版信息
J Pediatr Surg. 2000 Aug;35(8):1222-5. doi: 10.1053/jpsu.2000.8758.
PURPOSE
The aim of this study was to evaluate surgical complications and the outcome of grade II and III varicoceles treated with Tauber's antegrade scrotal sclerotherapy.
METHODS
A total of 21 patients with a median age of 13 (range, 10 to 21) years and left-sided grade II and III varicoceles were treated with Tauber's antegrade scrotal sclerotherapy and underwent follow-up over a median period of 23 months (range, 9 to 35).
RESULTS
One grade II varicocele persisted after antegrade sclerotherapy for 6 months. After a second sclerotherapy 6 months later, no further recurrence was detected. One patient with a grade II to III varicocele had a grade I varicocele recurrence 14 months after operation. Three patients showed a slight hydrocele postoperatively.
CONCLUSION
This limited series indicates that Tauber's antegrade scrotal sclerotherapy is a safe and effective treatment for grade II and III varicoceles in children and adolescents.
目的
本研究旨在评估采用陶伯顺行性阴囊硬化疗法治疗Ⅱ级和Ⅲ级精索静脉曲张的手术并发症及治疗效果。
方法
共有21例中位年龄为13岁（范围10至21岁）且患有左侧Ⅱ级和Ⅲ级精索静脉曲张的患者接受了陶伯顺行性阴囊硬化疗法，并进行了中位时长为23个月（范围9至35个月）的随访。
结果
1例Ⅱ级精索静脉曲张在顺行硬化疗法治疗6个月后仍持续存在。6个月后进行第二次硬化疗法后，未检测到进一步复发。1例Ⅱ至Ⅲ级精索静脉曲张患者在术后14个月出现Ⅰ级精索静脉曲张复发。3例患者术后出现轻微鞘膜积液。
结论
这个有限的系列研究表明，陶伯顺行性阴囊硬化疗法是治疗儿童和青少年Ⅱ级和Ⅲ级精索静脉曲张的一种安全有效的方法。
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