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本文报告了精索内静脉断截分流治疗精索静脉曲张160例,术中测量精索静脉压,截断前后压力平均下降0.13k■α(P<0.01),分流后压力又下降平均0.32kPα(P<0.001说明截断加分流优于单纯截断。术中精索静脉造影110例分别于截断前和分流后,根据造影选择截断部位有一定临床意义。分流后造影110次中出现精索静脉丛外侧支67次,说明吻合口通畅,分流充分,因此曲张静脉多能立即消失。还做了精索静脉和周围静脉血气分析对比,和部分病人术后随访。本院于1983年10月至1987年12月用显微外科技术,作精索内静脉截断分流治疗精索静脉曲张160例。术中测量血管直径,精索静脉压,精索静脉和周围静脉血气分析,现将160例临床资料分析如下;
In this paper, 160 cases of varicocele were treated by transsphenoidal shunt and transsphenoidal shunt. Intravenous sphincter pressure was measured before and after transection, and the mean pressure drop was 0.13k ■ α (P <0.01). The pressure decreased by 0.32kPa after the shunt P <0.001, indicating that truncation plus shunt is better than simple truncation.Artificial varicocele in 110 cases were cut off before and after shunt, according to angiography to select the truncated site has some clinical significance.Post shunt 110 times appeared in the varicocele Lateral branch 67 times, indicating anastomotic patency, full diversion, varicose veins and more able to immediately disappear .Also done spermatic vein and peripheral venous blood gas analysis and comparison, and some patients were followed up .In our hospital from October 1983 to 1987 In December of the year with microsurgical technique, as the spermatic vein shunt shunt treatment of varicocele 160. Intraoperative measurement of vascular diameter, varicocele, varicocele and peripheral venous blood gas analysis, 160 cases of clinical data analyse as below;