查詢結果分析
來源資料
相關文獻
- Loupe-Assisted High Inguinal Varicocelectomy for Sub-Fertile Men with Varicoceles
- The Surgical Repair of Varicocele in the Subfertile Male
- Mini-Laparoscopic Varicocelectomy Using a Knot-Tying Technique: A Preliminary Report
- Modified Subinguinal Varicocelectomy for Painful Varicocele and Varicocele-associated Infertility
- 應用超音波聽診器測定內精索靜脈之血液倒流以探討精索靜脈曲張與男性不孕症的相互關係
- 不孕症又發現子宮內膜異位怎麼辦?
- 男性、女性不孕症
- 不孕症治療之探討
- 女性不孕症病因之探討
- 不孕症治療新趨勢
頁籤選單縮合
題 名 | Loupe-Assisted High Inguinal Varicocelectomy for Sub-Fertile Men with Varicoceles=放大眼鏡下施行高位腹股溝精索靜脈截除術 |
---|---|
作 者 | 謝明里; 張慧朗; 黃世聰; 王大民; 崔克宏; | 書刊名 | 長庚醫學 |
卷 期 | 26:7 2003.07[民92.07] |
頁 次 | 頁479-484 |
分類號 | 416.27 |
關鍵詞 | 精索靜脈曲張; 不孕症; 精索靜脈曲張截除術; Varicoceles; Infertility; Varicocelectomy; |
語 文 | 英文(English) |
中文摘要 | 背景:低位腹股溝顯微精索靜脈曲張截除術有很高的手術成功率及低手術併發症,然而這個方法需要較昂貴的器具及時間花費。這�塈畯抭孎i,利用放大眼鏡幫忙下,經由較高位的次顯微精索靜脈曲張截除術之經驗、技術及其可行性。 方法:從1997年到2000年之間,一共有116位病人施行這種改良手術法。所有病人都有一年以上的不孕史且有不正常的精液分析及理學檢查或超音波証實的精索靜脈曲張。以門診手術的方式、利用三位放大眼鏡的幫忙,在接近內腹股溝環的位置,把所有曲張的靜脈,包括內、外精索靜脈及輸精管靜脈結紮而儘可能保留動脈、淋巴管及神經。所有的病人術後每三個月回診做精液分析及理學檢查。 結果:一共有96位病人至少有超過一年的完全追蹤及至少二次以上的精液分析。手術中沒有任何併發症發生,術後有一位病人有短暫的陰囊水腫。有4位病人術後有復發或持續性的靜脈曲張(2.9%)。術後精虫活動力從31.8±18.6%上升到47.5±16.9%(p=0.004),而精虫濃度到從26.2±18.7×106/cc增加到42.8±28.5×106/cc(p=0.0002)。 結論:放大眼鏡幫忙下,施行較高位腹股溝精索靜脈曲張截除術,是一個案全且技術上較為單純、容易而且有效的方式,尤其是對沒有顯微設備的地方。 |
英文摘要 | Backgorund: Microsurgical sub-inguinal varicocelectomy has been associated with extremely high success rates and minimal postoperative complications. The aim of this study was to report the techniques and outcomes of varicocelectomy using a modified microsurgical method, specifically a lupe-assisted high inguinal varicocelectomy instead of the usual microscope and sub-inguinal approach. Methods: From 1997 through 2003, 116 patients underwent modified high inguinal varicocelectomy. All patients had at least a 1-year history of infertility with abnormal semen parameters and varicocele proven by physical examination and/or color Doppler ultrasound. Varicocelectomy was performed as an outpatient procedure. To facilitate the procedure, a x3.0 lupe was used during the spermatic cord dissscetion at the level of the internal inguinal ring. During dissection, the dilated veins were ligated and divided including vassal veins and external spermatic veins. All of the patients were followed postoperatively with semen analysis and physical examination every 3 months. Results: A total of 96 patients were followed for more than 1 year, with at least two semen analyses being conducted. Moreover, 136 varicocelectomies wer performed among the 96 patients. No intra-operative complications occurred. A temporary reactive hydrocele was noted in one patient, but subsequently completely resolved. In addition, recurrent or persistent varicocele was identified by physical examination and/or color Doppler in four patients (2.9%). Motile sperm concentration increased form 31.8±18.6% to 47.5±16.9%(p=0.0004) in the sample group, and the sperm concentration (106/cc) increased form 26.2±18.7 to 42.8±28.5(p=0.0002). Conclusion: Loupe-assisted high inguinal varicocelectomy is a safe, simple, and effective method for the treatment of sub-fertile men, especially in medical facilities without microscopic equipment. However, further study with control groups is needed to strengthen the evidence. |
本系統中英文摘要資訊取自各篇刊載內容。