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为了改变泌尿外科精索静脉曲张患者需住院→开刀→抗菌→拆线→出院等传统治疗模式 ,也为了改变常规腹腔镜需全麻、费用高、体内残留有金属异物的状况 ,我们自拟麻醉药配方、剂量、给药时间 ,应用直径4mm微型腹腔镜 ,用丝线高位结扎精索内静脉 ,切开的后腹膜用丝线缝合关闭 ,避免术后出血、粘连。患者不住院 ,术后即可返家。临床应用 31例 ,全部在局麻下完成手术 ,术时未见明显出血及脏器损伤 ,无 1例中转手术 ,术后精索静脉曲张均消失 ,Valsalva法检查阴性。提示该术式在临床上是可行的 ,是一种医患都乐意接受的新术式。
In order to change the urology varicocele patients need hospitalization → surgery → antibacterial → stitches → discharge and other traditional treatment patterns, but also in order to change the conventional laparoscopic general anesthesia, high cost, the body residual metal foreign body status, we self anesthesia Drug formulations, dosage, dosing time, the application of 4mm diameter laparoscopic microscopy, high suture ligation of the spermatic vein with veins, incision of the peritoneum with suture closure, to avoid postoperative bleeding, adhesions. Patients are not hospitalized, you can return home after surgery. Clinical application of 31 cases, all under the local anesthesia to complete the operation, no significant hemorrhage and organ injury during operation, no one transit surgery, postoperative varicocele disappeared, Valsalva test negative. Prompted that the surgical approach is clinically feasible, is a doctor and patient are willing to accept the new surgical procedures.