1979年10月～1982年7月我们采用一种改进的精索内静脉高位结扎术治疗重度精索静脉曲张共31例,收到良好效果,介绍如下。临床资料一、手术方法(一)适应证:原发性精索静脉曲张症状显著,影响日常工作者。(二)一般用局部麻醉,必要时可用腰麻或硬膜外麻醉。仰卧位,左侧后腰部稍垫高。(三)手术步骤1.于左下腹取与右下腹麦氏切口相对应之切口,全长约6cm。2.自切口下按麦氏切口分离手术进路直至腹膜 October 1979 ~ July 1982 we use an improved spermatic vein ligation of the treatment of severe varicocele in a total of 31 cases, received good results, described below. Clinical data First, the surgical methods (A) Indications: Primary varicocele symptoms significantly affect the daily workers. (B) General use of local anesthesia, if necessary, spinal anesthesia or epidural anesthesia. Supine position, slightly raised left lumbar. (C) surgical steps 1. In the left lower abdomen take the right lower quadrant McNamara incision corresponding to the incision, a total length of about 6cm. 2. From incision McNars incision separation surgery until the peritoneum