儿童及青少年显微外科腹股沟下精索静脉结扎术的结果

Results of microsurgical subinguinal varicocelectomy in children and adolescents.

作者信息

Yaman Onder, Soygur Tarkan, Zumrutbas Ali E, Resorlu Berkan

机构信息

Department of Urology, University of Ankara Faculty of Medicine, Ankara, Turkey.

出版信息

Urology. 2006 Aug;68(2):410-2. doi: 10.1016/j.urology.2006.02.022.

DOI:10.1016/j.urology.2006.02.022

PMID:16904464

Abstract

OBJECTIVES

To report our experience with microsurgical subinguinal varicocelectomy in boys younger than 18 years old.

METHODS

A total of 92 boys with a mean age of 15.8 years (range 11 to 18) underwent microsurgical subinguinal varicocelectomy because of ipsilateral testicular hypotrophy (n = 63), pain, or parental preference. The varicoceles were grade III in 82 (89.1%) and grade II in 10 (10.9%) boys. Microsurgery was assisted by an operating microscope (10x to 25x) and Doppler probe. All boys were discharged home on the same day of surgery.

RESULTS

Of the 92 patients, 78 attended the initial postoperative visit at 1 month and 61 attended the 1-year follow-up visit. At 1 year, 40 (65.6%) of 61 testes demonstrated catch-up growth, with no evidence of testicular loss or persistent hypotrophy in the other 21. The only complication was persistent scrotal pain in 1 patient. At 1 year of follow-up, 1 patient (1.6%) had a recurrence and no patients had hydrocele formation or evidence of testicular loss or persistent hypotrophy.

CONCLUSIONS

Microsurgical subinguinal varicocelectomy is a safe, effective, and minimally invasive treatment modality in children and adolescents.

摘要

目的

报告我们对18岁以下男孩行显微外科腹股沟下精索静脉结扎术的经验。

方法

共有92名平均年龄为15.8岁（范围11至18岁）的男孩因同侧睾丸发育不良（n = 63）、疼痛或家长意愿而接受显微外科腹股沟下精索静脉结扎术。精索静脉曲张在82名（89.1%）男孩中为III级，在10名（10.9%）男孩中为II级。显微手术由手术显微镜（10倍至25倍）和多普勒探头辅助。所有男孩均在手术当天出院回家。

结果

92例患者中，78例在术后1个月进行了首次随访，61例进行了1年随访。1年时，61个睾丸中的40个（65.6%）显示有追赶性生长，另外21个睾丸没有睾丸丢失或持续性发育不良的证据。唯一的并发症是1例患者持续存在阴囊疼痛。在1年随访时，1例患者（1.6%）复发，没有患者出现鞘膜积液形成或睾丸丢失或持续性发育不良的证据。