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精索静脉曲张可为男性不育症原因之一,正受到泌尿外科学者的重视。我院自1986年11月以来,对15例患者采用了精索内静脉与腹壁下静脉或大隐静脉转流术,并进行了测压和造影。精索内静脉结扎前平均压力为15.7cmH_2O,结扎后平均压为14.1cmH_2O,P<0.01与腹壁下或大隐静脉吻合后压力为8.7cmH_2O,P<0.01。呈现明显的压力下降梯度。术中、术后造影显示吻合口通畅。术后精液检查都有不同程度改善。 手术是在放大8倍的手术显微镜下进行,外科医生只要经一段时间的基本训练,手术都能较顺利完成。
Varicocele may be one of the causes of male infertility, urinary sphincter attention. In our hospital since November 1986, 15 cases of patients with spermatic cord and inferior abdominal vein or saphenous vein bypass, and carried out manometry and contrast. The average pressure before spermatic vein ligation was 15.7cmH2O, and the average pressure after ligation was 14.1cmH2O, P <0.01 and 8.7cmH2O, respectively, after anastomosis of the inferior or great saphenous vein, P <0.01. Showing a significant downward pressure gradient. Intraoperative and postoperative angiography showed anastomotic patency. Postoperative semen examination have varying degrees of improvement. The surgery was performed under a magnifying 8X surgical microscope. The surgeon performed the surgery more smoothly as long as the basic training was performed for a period of time.