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聚丙烯假体对腹股沟疝手术矫正患者睾丸体积和动脉血流影响的前瞻性研究。

Prospective study on the effects of a polypropylene prosthesis on testicular volume and arterial flow in patients undergoing surgical correction for inguinal hernia.

作者信息

Lima Neto Edgar Valente de, Goldenberg Alberto, Jucá Mário Jorge

机构信息

University of Health Sciences of Alagoas, Brazil.

出版信息

Acta Cir Bras. 2007 Jul-Aug;22(4):266-71. doi: 10.1590/s0102-86502007000400007.

DOI:10.1590/s0102-86502007000400007
PMID:17625664
Abstract

PURPOSE

To evaluate testicular volume and arterial flow in patients undergoing surgical correction for inguinal hernia, with polypropylene prosthesis.

METHODS

This was an observational prospective clinical study on 39 male patients with unilateral inguinal hernia of types III A and III B according to the Nyhus classification who underwent surgical correction with implantation of a polypropylene prosthesis by means of the Lichtenstein technique. The patients were evaluated using Doppler ultrasound before the operation and selectively at the third and sixth months after the operation. The variables studied were testicular volume, systolic and diastolic velocity, resistance index and pulsatility index.

RESULTS

No statistically significant alterations in the variables studied were observed over the course of time: testicular volume (p= 0.197); systolic velocity (p= 0.257); diastolic velocity (p= 0.554); resistance index (p= 0.998); and pulsatility index (p= 0.582).

CONCLUSION

No alteration in testicular volume and arterial flow over a six-month period was observed among patients who underwent surgical correction for inguinal hernia using a polypropylene prosthesis.

摘要

目的

评估采用聚丙烯假体进行腹股沟疝手术矫正的患者的睾丸体积和动脉血流情况。

方法

这是一项针对39例根据Nyhus分类为III A型和III B型单侧腹股沟疝男性患者的观察性前瞻性临床研究,这些患者采用Lichtenstein技术植入聚丙烯假体进行手术矫正。在手术前以及术后第3个月和第6个月对患者进行选择性多普勒超声评估。所研究的变量包括睾丸体积、收缩期和舒张期速度、阻力指数和搏动指数。

结果

在所研究的变量随时间推移未观察到具有统计学意义的变化:睾丸体积(p = 0.197);收缩期速度(p = 0.257);舒张期速度(p = 0.554);阻力指数(p = 0.998);以及搏动指数(p = 0.582)。

结论

在采用聚丙烯假体进行腹股沟疝手术矫正的患者中,未观察到6个月期间睾丸体积和动脉血流有变化。

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