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目的 探讨腹腔镜精索静脉高位结扎术临床疗效。方法 对一组42 例精索静脉曲张患者采用腹腔镜行精索静脉高位结扎术治疗,作回顾性总结分析。结果 取得满意疗效,手术均获成功,用时为15~60min,平均35min。失血极少,手术后一天即下床活动,手术后1~4 天出院,术后平均住院2 3 天。出院时体检,曲张静脉均消失或明显缩小。21例症状消失或明显减轻,随访3 月~2 年,所有病例症状均消失,无复发及睾丸萎缩等并发症。17例不育症者于术后3月~2年复查精液,达正常者10例,明显改善者5例,2例无改善。结论 通过本组病例实践,我们认为,该手术创伤小,恢复快,疗效确切,尤其对双侧精索静脉曲张、开放性手术复发和有腹股沟手术史者可以作为首选术式。
Objective To investigate the clinical effect of laparoscopic varicocele ligation. Methods A group of 42 patients with varicocele were treated with laparoscopic high-grade ligation of varicocelectomy for retrospective analysis. The results achieved satisfactory results, surgery were successful, with a time of 15 ~ 60min, an average of 35min. Bleeding rarely, one day after surgery that get out of bed activities, 1 to 4 days after surgery were discharged, the average postoperative hospital 23 days. Discharged medical examination, varicose veins disappeared or significantly reduced. 21 cases disappeared or significantly reduced symptoms, followed up for 3 months to 2 years, all cases were no symptoms, no recurrence and testicular atrophy and other complications. Seventeen cases of infertility in 3 months to 2 years after the review of semen, up to 10 cases of normal, significantly improved in 5 cases, 2 cases without improvement. Conclusion Through the practice of this group of patients, we believe that the surgical trauma, rapid recovery, curative effect, especially for bilateral varicocele, open surgical recurrence and history of groin surgery can be used as the preferred surgical approach.