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本文报告51例经腹腔镜精索内静脉高位结扎术患者的诊断、手术方法、手术体会、术后追踪观察的结果。根据术前对精索静脉血流方向的彩色多普勒超声检查及术中直接观测精索静脉血流方向,发现右侧亦存在静脉返流者占88.2%(45/51)。文中并就手术切口定位,精索内动、静脉的处理进行了讨论。认为经腹腔镜精索内静脉高位结扎术创伤小,可同时处理双侧精索静脉,结扎曲张静脉彻底,并发症发生率低,术后恢复快,是治疗精索内静脉曲张的较好方法。
This article reports 51 cases of laparoscopic spermatic vein ligation in patients with high ligation diagnosis, surgical methods, surgical experience, follow-up observation results. According to the preoperative color Doppler ultrasound examination of spermatic venous flow and direct observation of intraoperative spermatic vein blood flow direction, we found that there are 88.2% (45/51) intravenous regurgitation on the right side. The article also discussed the location of surgical incision, spermatic cord movement, vein treatment. That the high-end laparoscopic spermatic vein ligation trauma, bilateral spermatic vein can be treated at the same time, complete ligation of varicose veins, the incidence of complications is low, fast recovery, is a good method of treatment of varicocele .