需要手术治疗的原发性静脉曲张患者中临床和亚临床精索静脉曲张的发生率。
Clinical and subclinical varicocele incidence in patients with primary varicose veins requiring surgery.
作者信息
Yasim Alptekin, Resim Sefa, Sahinkanat Tayfun, Eroglu Erdinc, Ari Murat, Efe Erkan
机构信息
Faculty of Medicine, Department of Cardiovascular Surgery, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.
出版信息
Ann Vasc Surg. 2013 Aug;27(6):758-61. doi: 10.1016/j.avsg.2012.07.031. Epub 2013 Jun 20.
BACKGROUND
The purpose of this study was to analyze the incidence of clinical and subclinical varicocele in patients with primary varicose veins requiring surgery.
METHODS
A total of 100 patients with primary varicose veins requiring surgery were evaluated. Clinical varicocele was found in each patient through physical examination. Each patient was also evaluated with ultrasound because of evidence of subclinical varicocele.
RESULTS
Among the patients with varicose veins, 28 had no clinical sign of varicocele, whereas the remaining 72 had varicocele with different clinical levels (72%). Doppler ultrasound revealed that 32 patients had no reflux flow, whereas the other 68 had different grades of reflux flow (68%).
CONCLUSIONS
Clinical or subclinical varicocele may be highly present in patients with severe venous disease. However, these types of varicoceles do not cause infertility in most patients. Nevertheless, infertility may occur in subsequent years, especially in young patients who have venous disease and undergo surgery, and they should be aware of this condition.
背景
本研究的目的是分析需要手术治疗的原发性静脉曲张患者中临床型和亚临床型精索静脉曲张的发生率。
方法
共评估了100例需要手术治疗的原发性静脉曲张患者。通过体格检查在每位患者中发现临床型精索静脉曲张。由于存在亚临床型精索静脉曲张的证据，每位患者还接受了超声检查。
结果
在静脉曲张患者中，28例无精索静脉曲张的临床体征，而其余72例有不同临床程度的精索静脉曲张（72%）。多普勒超声显示，32例患者无反流，而其他68例有不同程度的反流（68%）。
结论
临床型或亚临床型精索静脉曲张在严重静脉疾病患者中可能高度存在。然而，这些类型的精索静脉曲张在大多数患者中不会导致不育。尽管如此，不育可能在随后几年发生，尤其是在患有静脉疾病并接受手术的年轻患者中，他们应该了解这种情况。
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