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目的探索改良精索静脉曲张(VAC)结扎术方法的效果。方法采用阴囊根部皮纹小切口,应用2～6倍手术显微镜加罂粟碱注射液鉴别动静脉,结扎所有静脉,皮内缝合切口。结果本组38例切口均Ⅰ期愈合,切口瘢痕隐匿。术后6个月随访28例均未见复发,其中随访已婚精子质量异常者13例,精子质量改善者9例,改善率为69.2%。结论隐匿式切口阴囊根部精索静脉结扎术具有一定的学术和临床应用价值。
Objective To explore the effect of varicocele (VAC) ligation method. Methods Scrotum root dermoid small incision was made. The arteriovenous vein was differentiated with 2 ~ 6 times microscope and papaverine injection, and all the veins and incision were sutured. Results The group of 38 cases of incision healed in the first stage, incision scar concealment. No recurrence was observed in 28 cases 6 months after operation. Among them, 13 cases of abnormal sperm quality were followed up, 9 cases were improved sperm quality, the improvement rate was 69.2%. Conclusions Occlusion incision scrotum root spermatic vein ligation has some academic and clinical value.