精索静脉曲张与介入放射学:精索静脉曲张与介入放射学:诊断、治疗干预及对生殖健康影响的综合案例研究》。

IF 0.7 Q4 PHARMACOLOGY & PHARMACY
Journal of pharmacy & bioallied sciences Pub Date : 2024-07-01 Epub Date: 2024-05-29 DOI:10.4103/jpbs.jpbs_156_24
Saurabh Mehakar, Namrata Anjankar, Praful Bachate, Ritesh Jadhao, Gauri Gajabe, Akash More, Shivani Khemani
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引用次数: 0

摘要

众所周知,精索静脉曲张会影响男性不育,这是一种常见的血管畸形,其特征是阴囊内的瓣膜静脉丛异常扩张。在这个病例中,一名 38 岁的男子出现阴囊不适和肿胀,这是精索静脉曲张的临床表现。阴囊超声波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轻微出血。尽管采取了卧床休息、冷冻治疗和镇痛等保守措施,但患者的临床症状仍表现为阴囊持续肿胀和血肿形成。随后,医生采用了介入放射学技术,特别是线圈铺设和精索静脉曲张栓塞术。这些干预措施效果显著,明显减轻了患者的症状。干预后进行的随访评估显示,疼痛和血肿均已完全消退。这一临床轨迹凸显了介入放射学在治疗精索静脉曲张相关并发症中的关键作用。该病例的多面性凸显了综合、跨学科方法的必要性,这种方法结合了放射学干预,可有效控制精索静脉曲张相关症状,从而优化生殖健康结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Varicocele and Interventional Radiology: A Comprehensive Case Study on Diagnosis, Therapeutic Intervention, and Implications for Reproductive Health.

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.

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