Abstract：
OBJECTIVE: The aim of this study was to investigate the relationship between left-sided varicocele and epididymitis or epididymo-orchitis.
METHODS: The study included 72 patients with left side epididymitis (EP) or epididymo-orchitis (EPO) (Group 1) and a control group of 72 patients without EP or EPO (Group 2). Those with right EP-EPO were excluded due to possible other underlying retroperitoneal pathologies causing varicocele. Groups were evaluated for presence of left side varicocele, varicocele grade and pampiniform plexus vein diameter.
RESULTS: The average age was 38 ± 8.4 years (range, 18-50 years) in Group 1, and 36 ± 9.1 years (range, 16-47 years) in Group 2. Varicocele was significantly more common in patients with EP or EPO (p < .001). The rate of varicocele was 66.7% (48/72) in Group 1, and 22.3% (16/72) in Group 2. The median grade of varicocele was 2 in Group 1, and 0 in Group 2. Pampiniform plexus vein diameters were found to be significantly larger in patients with EP or EPO compare to patients without EP and EPO. The median vein diameter was 3.3 mm with the 25th and 75th percentiles at 2.7 and 3.8 mm, and was 1.9 mm with the 25th and 75th percentiles at 1.7 and 2.3 mm, respectively (p < .001).
CONCLUSIONS: Left-sided varicocele was significantly more common in patients with EP or EPO and it is an important cause for the development of EP/EPO because of chronic venous stasis.
METHODS: The study included 72 patients with left side epididymitis (EP) or epididymo-orchitis (EPO) (Group 1) and a control group of 72 patients without EP or EPO (Group 2). Those with right EP-EPO were excluded due to possible other underlying retroperitoneal pathologies causing varicocele. Groups were evaluated for presence of left side varicocele, varicocele grade and pampiniform plexus vein diameter.
RESULTS: The average age was 38 ± 8.4 years (range, 18-50 years) in Group 1, and 36 ± 9.1 years (range, 16-47 years) in Group 2. Varicocele was significantly more common in patients with EP or EPO (p < .001). The rate of varicocele was 66.7% (48/72) in Group 1, and 22.3% (16/72) in Group 2. The median grade of varicocele was 2 in Group 1, and 0 in Group 2. Pampiniform plexus vein diameters were found to be significantly larger in patients with EP or EPO compare to patients without EP and EPO. The median vein diameter was 3.3 mm with the 25th and 75th percentiles at 2.7 and 3.8 mm, and was 1.9 mm with the 25th and 75th percentiles at 1.7 and 2.3 mm, respectively (p < .001).
CONCLUSIONS: Left-sided varicocele was significantly more common in patients with EP or EPO and it is an important cause for the development of EP/EPO because of chronic venous stasis.
摘要：
目的：本研究旨在探讨左侧精索静脉曲张与附睾炎或附睾-睾丸炎的关系。
方法：该研究包括72例左侧附睾炎（EP）或附睾睾丸炎（EPO）患者（第1组）和72例无EP或EPO患者的对照组（第2组）。由于可能导致精索静脉曲张的其他潜在腹膜后病变，排除了患有正确EP-EPO的患者。评估组是否存在左侧精索静脉曲张，精索静脉曲张等级和斑状丛静脉直径。
结果：平均年龄为38±8.4岁（范围，第1组18-50年），第36±9.1年（范围，16-47岁）在第2组中。精索静脉曲张在EP或EPO患者中更为常见（p<.001）。第1组精索静脉曲张发生率为66.7%(48/72),第2组为22.3%(16/72)。精索静脉曲张的中位数在第1组中为2，在第2组中为0。与没有EP和EPO的患者相比，发现EP或EPO的Pampiniform丛静脉直径明显更大。中位静脉直径为3.3mm，第25和第75百分位数为2.7和3.8mm，为1.9毫米，第25和第75百分位数为1.7和2.3毫米，分别（p<.001）。
结论：左侧精索静脉曲张在EP或EPO患者中更为常见，并且由于慢性静脉淤滞，它是EP/EPO发展的重要原因。
方法：该研究包括72例左侧附睾炎（EP）或附睾睾丸炎（EPO）患者（第1组）和72例无EP或EPO患者的对照组（第2组）。由于可能导致精索静脉曲张的其他潜在腹膜后病变，排除了患有正确EP-EPO的患者。评估组是否存在左侧精索静脉曲张，精索静脉曲张等级和斑状丛静脉直径。
结果：平均年龄为38±8.4岁（范围，第1组18-50年），第36±9.1年（范围，16-47岁）在第2组中。精索静脉曲张在EP或EPO患者中更为常见（p<.001）。第1组精索静脉曲张发生率为66.7%(48/72),第2组为22.3%(16/72)。精索静脉曲张的中位数在第1组中为2，在第2组中为0。与没有EP和EPO的患者相比，发现EP或EPO的Pampiniform丛静脉直径明显更大。中位静脉直径为3.3mm，第25和第75百分位数为2.7和3.8mm，为1.9毫米，第25和第75百分位数为1.7和2.3毫米，分别（p<.001）。
结论：左侧精索静脉曲张在EP或EPO患者中更为常见，并且由于慢性静脉淤滞，它是EP/EPO发展的重要原因。
