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中华腔镜泌尿外科杂志(电子版) ›› 2026, Vol. 20 ›› Issue (01) : 114 -116. doi: 10.3877/cma.j.issn.1674-3253.2026.01.017

病例报告

精索静脉曲张伴血栓形成两例报告
李建雄, 杨诚, 贺慷, 薛康颐, 郭文彬, 陈明坤, 刘存东()   
  1. 510630 广州,南方医科大学第三附属医院泌尿外科
  • 收稿日期:2022-10-09 出版日期:2026-02-01
  • 通信作者: 刘存东

Varicocele with thrombosis: a report of two cases

Jianxiong Li, Cheng Yang, Kang He, Kangyi Xue, Wenbin Guo, Mingkun Chen, Cundong Liu()   

  1. Department of Urology, the Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China
  • Received:2022-10-09 Published:2026-02-01
  • Corresponding author: Cundong Liu
引用本文:

李建雄, 杨诚, 贺慷, 薛康颐, 郭文彬, 陈明坤, 刘存东. 精索静脉曲张伴血栓形成两例报告[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2026, 20(01): 114-116.

Jianxiong Li, Cheng Yang, Kang He, Kangyi Xue, Wenbin Guo, Mingkun Chen, Cundong Liu. Varicocele with thrombosis: a report of two cases[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2026, 20(01): 114-116.

精索静脉曲张是引起男性不育最常见的原因,而精索静脉曲张伴血栓形成则极为罕见。本文报道2例精索静脉曲张伴静脉血栓形成患者,其中1例为精索静脉曲张继发血栓形成,另1例无法判断其先后顺序,并探讨其发生的机制。对于治疗方面,尚无证据表明保守抗凝与手术治疗何者更优,但优先建议手术治疗。

Varicocele is the most common cause of male infertility, while varicocele with thrombosis is extremely rare. This article reports two cases of varicocele with thrombosis, one with thrombosis secondary to varicocele and the other with an uncertain temporal sequence, and explores the underlying mechanism based on these cases. For treatment, there is no evidence that conservative anticoagulation or surgical treatment is preferable, but surgical treatment is preferentially recommend.

图1 精索静脉曲张伴血栓形成患者资料注:图a示患者阴囊呈紫红色,并可触及迂曲团块;图b示床旁彩超,血流显像未见血流信号;图c示术中以7号线结扎精索
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