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Grade III Varicocele Surgical Treatment using Spermatic Vein-Superficial Abdominal Vein Shunt
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在腹腔镜静脉切除术中比较两种血管分裂技术. 一个前性研究研究.

A Ramírez Calazans1, M R Ibarra Rodríguez1, S R Wiesner Torres1

  • 1Pediatric Surgery Department. Hospital Universitario Reina Sofía. Córdoba (Spain).

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腹腔镜帕洛莫技术用于静脉修复在儿童中是安全有效的,剪切和血管密封方法之间的并发症没有显著差异. 建议对更大的队列进行进一步的研究.

关键词:
双极的船舶密封系统.剪辑片段 剪辑片段最少侵入性的外科手术程序.在外科手术方面.手术仪器 手术仪器这种病的发病率是Varicocele.

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科学领域:

  • 儿科手术 儿科手术
  • 泌尿器科 泌尿器科 泌尿器科 泌尿器科
  • 血管外科 血管外科

背景情况:

  • 静脉是一种影响15-20%的男性的松状的异常扩张,可以导致丸缩和不孕症.
  • 准确的诊断和有效的治疗是预防长期生殖健康问题的关键.

研究的目的:

  • 评估腹腔镜帕洛莫技术在儿科静脉修复中的安全性和有效性.
  • 为了比较两种血管封闭方法之间的术后并发症和复发率:剪切+分裂与血管密封剂.

主要方法:

  • 一项从2017-2021年进行的前性纵向研究包括37名接受了腹腔镜静脉切除术的男孩.
  • 患者被随机分配到剪切+划分组 (20名患者) 或血管密封器组 (17名患者).
  • 分析的结果包括静脉等级,术后并发症 (如水),随访持续时间和复发率.

主要成果:

  • 这项研究包括37名男孩 (平均年龄为12岁),平均随访时间为12个月;24.3%患有II级,75.7%患有III级静脉.
  • 术后并发症发生在32.4%的患者中,水发病发生在29.7% (8名来自密封组,3名来自剪切组),需要在13.5%的患者中重新干预.
  • 在这两组中都没有观察到静脉的复发.

结论:

  • 腹腔镜帕洛莫技术是一种安全有效的治疗儿科静脉,产生良好的结果与最小的并发症.
  • 在剪切+划分和血管密封方法之间,没有发现并发症或复发的统计学上显著差异.
  • 更大的样本大小研究是有必要的,以确定封闭技术之间的潜在差异.