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目的 探讨应用钛轮钉治疗精索静脉曲张的治疗效果。方法 采用钛轮钉应用于精索内静脉高位结扎加腹壁下静脉转流治疗精索静脉曲张 5 0例 ,均为左侧精索静脉 2～ 3度曲张。全部 5 0例精液常规检查均有异常。彩色多谱勒血流图像 (CDFI)证实均有逆向血流。结果 5 0例精索内静脉和腹壁下静脉应用直径 2mm钛轮钉吻合全部一次成功。吻合血管平均 5min。术后随访 1～ 4年全部 5 0例临床症状和体征均消失 ,无复发。精子数量和质量均较术前有所改善。结论 采用钛轮钉应用于精索内静脉高位结扎加腹壁下静脉转流治疗精索静脉曲张具有安全可靠 ,吻合操作方法简单 ,复发率低的优点。
Objective To investigate the treatment of varicocele with titanium wheel nail. Methods Titanium nail was used in the treatment of 50 cases of varicocele by high ligation of spermatic vein and transversal abdominal vein, all of which were 2 ~ 3 degree varicosities of the left spermatic vein. All 50 cases of semen routine examination are abnormal. Color Doppler flow imaging (CDFI) confirmed the presence of reverse blood flow. Results 50 cases of spermatic cord vein and inferior abdominal vein diameter 2mm titanium nail anastomosis all successful. Anastomosis vessels average 5min. All cases were followed up for 1 to 4 years, all 50 cases of clinical symptoms and signs disappeared, no recurrence. Sperm quantity and quality are better than preoperative. Conclusion The application of titanium wheel nail in the treatment of varicocele by high ligation of spermatic vein and subatropial-inferior vena cava is safe and reliable, the operation method of anastomosis is simple, and the recurrence rate is low.