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观察腹腔镜下高位精索血管结扎(Palomo)术治疗小儿精索静脉曲张的临床疗效。方法:采用腹腔镜下Palomo术治疗小儿精索静脉曲张患者26例,患儿就诊年龄为11～15岁,平均12.5岁。均为左侧Ⅲ度精索静脉曲张。结果:手术时间30～90 min,平均45 min,平均术后住院3天。平均随访时间为15个月(3～41个月),均无术侧精索肿痛、附睾炎、睾丸萎缩及精索静脉曲张复发。结论:腹腔镜损伤小,且通过光学放大作用能提供快速的手术径路,因此,采用腹腔镜下Palomo手术治疗精索静脉曲张是一种安全有效的方法。
To observe the clinical effect of laparoscopic high spermatic vascular ligation (Palomo) in pediatric varicocele. Methods: Twenty-six patients with pediatric varicocele were treated by laparoscopic Palomo surgery. The treatment ages ranged from 11 to 15 years (average 12.5 years). All left third degree varicocele. Results: The operation time was 30-90 minutes, with an average of 45 minutes. The average postoperative hospital stay was 3 days. The average follow-up time was 15 months (range 3 to 41 months). No spermatic cord pain, epididymitis, testicular atrophy and varicocele recurrence were found. Conclusions: Laparoscopic injury is small and provides a rapid surgical approach through optical magnification. Therefore, laparoscopic Palomo surgery for varicocele is a safe and effective method.