目的评价小切口集束型腹膜后精索动静脉高位结扎术的临床效果。方法回顾性分析60例精索内动静脉高位结扎术的治疗效果。手术简要过程:手术切口长约2 cm,逐步切开各层并找见扩张的精索内静脉,同时找到与其伴行的精索动脉,用弯钳将精索自腹膜上分离出并牵出切口,确认精索血管内无输精管后,游离钳夹切断并集束型结扎精索血管,检查无活动性出血,逐层关闭切口。结果 60例手术均效果显著。手术时间15~30 min,平均手术时间25 min;切口长度1.5~2.0 cm,平均1.8 cm;术时无明显出血及脏器损伤,术后平均住院7 d。术后5例出现鞘膜积液。随访3~12个月,3例复发,复发率5%。无一例出现睾丸萎缩或坏死。结论本术式治疗精索静脉曲张具有损伤小、手术时间短、效果良好等优点。 Objective To evaluate the clinical effect of small incision cluster hyperpermeable ligation of retroperitoneal spermatic vein. Methods Retrospective analysis of 60 cases of spermatic cord arterial and venous ligation of the treatment effect. The surgical procedure was as follows: The surgical incision was about 2 cm in length. The incisions were gradually dissected and the sphincter of the dilated spermatic vein was found. At the same time, the spermatic artery accompanying the spermatic artery was found. The spermatic cord was separated from the peritoneum with a curved forceps and pulled out Incision, to confirm the spermatic cord without vas deferens, the free clamp cut off and bundle-type spermatic cord ligation, check the active bleeding, layer by layer close the incision. Results 60 cases of surgery were significant results. The operation time was 15-30 minutes, the average operation time was 25 minutes. The incision length was 1.5-2.0 cm with an average of 1.8 cm. There was no obvious hemorrhage and organ injury during operation. The average postoperative hospital stay was 7 days. Postoperative 5 cases of hydrocele. Followed up for 3 to 12 months, 3 patients relapsed, the recurrence rate was 5%. No case of testicular atrophy or necrosis. Conclusion This procedure for the treatment of varicocele with less damage, shorter operative time, the effect is good and so on.