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目的探讨经脐单切口腹腔镜下高位结扎术治疗精索静脉曲张(VC)的临床效果。方法回顾分析2009年4月至2010年1月我院行经脐单切口腹腔镜下高位结扎术治疗精索静脉曲张的45例VC患者临床资料,其中左侧29例,无单纯右侧患者,双侧16例,共61侧;年龄22～49岁,平均32±13岁。结果所有患者均顺利完成手术,手术时间20～45min,平均28±7min,术中出血少,未出现周边器官及血管损伤并发症,术后脐部手术切口愈合,手术疤痕不明显,术后1～3d出院。结论经脐单切口腹腔镜下高位结扎术治疗精索静脉曲张疗效可靠,术后切口美观,体现了微创治疗的优势。
Objective To investigate the clinical effect of transcervical laparoscopic trans-umbilical ligation in the treatment of varicocele (VC). Methods The clinical data of 45 VC patients with high varicocele undergoing umbilical single incision laparoscopy in our hospital from April 2009 to January 2010 were retrospectively analyzed. Among them, there were 29 patients on the left, Side of 16 cases, a total of 61 sides; aged 22 to 49 years, mean 32 ± 13 years. Results All patients underwent successful operation. The operation time was 20-45 minutes (mean, 28 ± 7 minutes) with less bleeding during operation. There were no complications of peripheral organ and vascular injury. The incision of the umbilicus was healed after operation. The scar of the operation was not obvious. ~ 3d discharged. Conclusion The single-incision laparoscopic ligation of the umbilical cord for the treatment of varicocele is reliable and the postoperative incision is beautiful, reflecting the advantages of minimally invasive treatment.