摘要
目的：探讨腹股沟外环下切口显微精索静脉结扎术中睾丸动脉系统的情况,提高睾丸动脉保护水平。方法：2014年3月-2015年12月采用腹股沟外环下切口显微精索静脉结扎术治疗精索静曲张患者300例,年龄14-38岁,平均27.8岁,其中左侧188例,右侧25例,双侧87例,均经体检及精索静脉彩超确诊,并排除继发性精索静脉曲张;手术过程中记录动脉的数量,并按大小对其进行分类。结果：本组患者均保留睾丸动脉,其中腹股沟外环下切口睾丸动脉（精索内动脉）2条124例（41.3%）,1条96例（32%）,≥3条80例（26.7%）;提睾肌动脉1条167例（55.6%）,2条133例（44.4%）;输精管动脉2条300例。睾丸动脉（精索内动脉）直径≥1mm而〈1.5mm者287例,〈1mm者13例;输精管动脉及提睾肌动脉直径均〈1mm。结论：腹股沟外环下切口显微精索静脉结扎术存在多条睾丸动脉的可能,应建立睾丸动脉系统保护的观念。
Objective：To improve the protection level of testicular arteries by analyzing the testicular artery system of subinguinal microscopic varicocelectomy.Method：The clinical date of 300 cases of varicocele from March2014 to December 2015 were reviewed.The mean age was 27.8（range,14-38）years old.Twenty-five varicoceles on the right side,87 on both sides and 188 on the left side were included.Physical examinations and color doppler ultrasonography were needed to diagnose and exclude secondary varicocele.The numbers of testicular arteries were recorded and testicular arteries were classified according to their diameters during subinguinal microscopic varicocelectomy.Result：Testicular arteries were protected in all cases.One hundred and twenty-four patients（41.3%）had two testicular arteries reserved,96patients（32%）had one testicular artery reserved,and 80patients（26.7%）had more than or equal to three testicular arteries reserved.One hundred and sixty-seven patients（55.6%）had one cremasteric artery reserved,and 133patients（44.4%）had two cremasteric arteries reserved.Every patients had two vas deferens arteries reserved.The amount of the diameters of testicular artery（≥1mm,〈1.5mm）was 287 cases,and the amount of the diameters（〈1mm）was 13 cases.The diameters of vas deferens arteries and cremasteric arteries were all less than 1mm.Conclusion：Testicular arteries should be considered when subinguinal microscopic varicocelectomy is conducted,and protection of the testicular arteries is significant.
出处
《临床泌尿外科杂志》
2016年第4期311-313,共3页
Journal of Clinical Urology
