精索静脉曲张多见于青壮年,发病率约占11.6%,99%发生在左侧,亦可并发男性不育。精索静脉高位结扎术,虽可取得一定的疗效,但复发率占0.2～25%,精子的改善和恢复占53%。我院自1984年来,采用精索静脉与大隐静脉或腹壁下静脉转流术治疗原发性精索静脉曲张36例,取得了较好的疗效,现报告如下。 Varicocele more common in young adults, the incidence of about 11.6%, 99% occurred in the left, may also be complicated by male infertility. High varicocele ligation, although we can achieve a certain effect, but the recurrence rate of 0.2 to 25%, sperm improvement and recovery accounted for 53%. In our hospital since 1984, the use of spermatic vein and saphenous vein or inferior abdominal vein bypass in the treatment of 36 cases of primary varicocele, and achieved good results, are as follows.