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经腹股沟腹膜后高位结扎精索静脉,是目前治疗精索静脉曲张生育低下患者最常用方法。但术后并发症较多,恢复活动较慢,双侧手术时需作第二切口等缺点,促使临床寻求新技术。Donald等发展了腹腔镜技术,行经腹腔镜于腹股沟内环处钳夹结扎精索静脉共10例。患者年龄16～64岁,诊断基于临床体验。手术指征为不育及精液常规呈抑压型5例,不育伴睾丸萎缩4例,伴阴囊疼痛1例,4例行双侧结扎。术后全部精索静脉曲张消失,手术疼痛明显较轻,全部术后2日恢复正常活动,无操作相关并发
Retroperitoneal inguinal superior varicocele ligation, is currently the treatment of varicocele in patients with low fertility most commonly used method. However, more postoperative complications, slow recovery activities, bilateral surgery required for the second incision and other shortcomings, prompting the clinical search for new technologies. Donald and other developed laparoscopic technique, laparoscopic ligation of the inguinal canal at the vaso-venous clamp in 10 cases. Patients aged 16 to 64 years old, the diagnosis based on clinical experience. Surgical indications for infertility and seminal routine was suppressed type in 5 cases, infertility with testicular atrophy in 4 cases, with scrotal pain in 1 case, 4 cases of bilateral ligation. All varicocele disappeared after surgery, the operation was significantly less pain, all 2 days after the resumption of normal activities, no operation-related complications