显微分流术治疗精索静脉曲张112例  

112 Varicocele Patients Treated with Microscopic Bypath

作　　者：张鹏[1] 张成友[1] 丘龙[1] 陈宁[1] 曾祥勇[1] 

机构地区：[1]海南医学院附属新华医院泌尿外科,海南海口570311

出　　处：《海南医学》2006年第10期46-46,58,共2页Hainan Medical Journal

摘　　要：目的精索静脉曲张多发生于左侧,根据解剖学特点,因静脉瓣都受到损害,致使静脉血液倒流,损伤睾丸,影响生育和产生临床症状。经手术高位结扎加显微分流术后,能得到根治。方法将曲张静脉于内环口的上处行高位结扎,再选择一根精索内静脉与腹壁下静脉端端吻合,以建立新的回流通道达到分流效果。结果112例精索静脉曲张均为左侧行高位结扎加显微分流术,其中108例取得立竿见影效果占96.4%;余4例效果欠佳占3.6%。经随访精液质量得到较好改善者98例,占87.5%;改善10例,占8.8%:精液质量未得到改善4例,占3.7%。结论精索静脉曲张行精索内静脉高位结扎可以阻断由肾及肾上腺倒流的静脉血。分流可以使睾丸重新建立新的回流通道,是治疗精索静脉曲张较为理想的方法。Objective To study the eeffect of microscopic bypath treatment on varicoceh patients. Methods The varicose spermatic cord vein was ligated high above the endocyclic gate, and an internal spermatic cord vein was selected for termino-terminal anastomosis with the vena epigastfica inferior. Results Microscopic bypath operation was carried out in 112 patients with left varicocele. 108 of 112 patients （96.4%） had a marked clinical recovery. 96.3% patients had a good quality of semen examination. Conclusions Microscopic bypath operation was an effective treatment on varicocele patients.

关 键 词：精索静脉曲张 结扎 分流 

分 类 号：R697.24[医药卫生—泌尿科学]