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目的寻求治疗精索静脉曲张的微创新技术并对经脐单孔腹腔镜下精索内静脉高位结扎术的临床经验进行总结。方法回顾分析我院2009年1月至2010年6月采用经脐单孔双通道法(双Trocar法),进行腹腔镜下精索内静脉高位结扎术治疗的46例精索静脉曲张患者的临床资料。结果 46例患者均为Ⅱ~Ⅲ度精索静脉曲张,年龄15~29岁,平均21.5岁;病史6个月至8年,平均2.5年;左侧42例,双侧4例;手术均采用精索血管集束结扎方式顺利完成,手术时间15~40 min,平均21 min;出血量0~5 ml;住院时间2~5 d,平均3.5 d;随访2~18个月,无静脉曲张复发、阴囊水肿,无睾丸萎缩等远期并发症。结论经脐单孔腹腔镜下精索内静脉高位结扎术安全快捷、创伤小、并发症少、恢复快、腹壁不留疤痕,是治疗精索静脉曲张的微创新术式,宜于推广使用。
Objective To search for a minimally invasive technique for the treatment of varicocele and to summarize the clinical experience of transperineal laparoscopic high ligation of the spermatic vein through the umbilical cord. Methods The clinical data of 46 patients with varicocele treated with laparoscopic spermatic vein ligation in our hospital from January 2009 to June 2010 were retrospectively analyzed. data. Results 46 patients were grade Ⅱ ~ Ⅲ varicocele, aged 15 to 29 years old with an average of 21.5 years; history of 6 months to 8 years, an average of 2.5 years; the left 42 cases, bilateral in 4 cases; surgery were used The operation time was 15 min to 40 min, with an average of 21 min. The amount of bleeding was 0 to 5 ml. The length of hospital stay was 2 to 5 days (mean, 3.5 days). The patients were followed up for 2 to 18 months without variceal recurrence, Scrotal edema, no testicular atrophy and other long-term complications. Conclusion The single-hole laparoscopic ultra-sperm ligation of the uterus through the ligation of the safe and efficient, less trauma, less complications, faster recovery, absent abdominal scar, is a minimally invasive surgical treatment of varicocele minimally invasive surgery is appropriate to promote the use of .