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精索静脉曲张与介入放射学:关于诊断、治疗干预及对生殖健康影响的综合案例研究

Varicocele and Interventional Radiology: A Comprehensive Case Study on Diagnosis, Therapeutic Intervention, and Implications for Reproductive Health.

作者信息

Mehakar Saurabh, Anjankar Namrata, Bachate Praful, Jadhao Ritesh, Gajabe Gauri, More Akash, Khemani Shivani

机构信息

Clinical Embryology, School of Allied Health Sciences, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.

Interventional Radiology, Acharya Vinoba Bhave Rural Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2995-S2998. doi: 10.4103/jpbs.jpbs_156_24. Epub 2024 May 29.

Abstract

Male infertility is known to be influenced by varicocele, a common vascular aberration marked by aberrant dilatation of the pampiniform plexus veins within the scrotum. In this instance, a 38-year-old man showed up with scrotal discomfort and swelling, which are clinical signs of varicocele. Scrotal ultrasonography provided diagnostic confirmation, confirming the existence of varicocele and identifying a concomitant minor hemorrhage in the left scrotal sac. Despite the initiation of conservative measures, such as bed rest, cryotherapy, and analgesics, the patient's clinical course was marked by persistent scrotal swelling and hematoma formation. Subsequently, interventional radiological techniques were employed, specifically coil deployment and varicocele embolization. These interventions demonstrated significant efficacy, leading to a notable reduction in the presenting symptoms. Follow-up assessments, conducted post intervention, indicated a complete resolution of both pain and hematoma. This clinical trajectory underscores the pivotal role of interventional radiology in managing varicocele-related complications. The multi-faceted nature of this case highlights the necessity of a comprehensive, inter-disciplinary approach integrating radiological interventions for the effective management of varicocele-associated symptoms, potentially optimizing reproductive health outcomes.

摘要

已知精索静脉曲张会影响男性不育,精索静脉曲张是一种常见的血管异常,其特征是阴囊内蔓状静脉丛异常扩张。在这个病例中,一名38岁男性因阴囊不适和肿胀前来就诊,这些都是精索静脉曲张的临床症状。阴囊超声检查提供了诊断依据,证实了精索静脉曲张的存在,并发现左侧阴囊伴有少量出血。尽管采取了保守措施,如卧床休息、冷冻疗法和使用镇痛药,但患者的临床病程仍以阴囊持续肿胀和血肿形成为特征。随后,采用了介入放射技术,特别是线圈置入和精索静脉曲张栓塞术。这些干预措施显示出显著疗效,使当前症状明显减轻。干预后进行的随访评估表明,疼痛和血肿均已完全消除。这一临床过程强调了介入放射学在处理精索静脉曲张相关并发症中的关键作用。该病例的多方面性质凸显了采用综合、跨学科方法的必要性,这种方法整合放射学干预措施以有效管理精索静脉曲张相关症状,可能会优化生殖健康结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9601/11426632/3f6f7e773bb6/JPBS-16-2995-g001.jpg

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