腹腔镜下精索内静脉高位节段切除术治疗重度精索静脉曲张  

Laparoscopic high ligation of spermatic vein in the treatment of critical varicocele

作　　者：张少林[1] 陈伯川[1] 陈永华[1] 梁伟东[1] 白亮[1] 钟羽翔[1] 

机构地区：[1]广州中医药大学附属佛山中医院泌尿外科,广东省佛山528000

出　　处：《中国基层医药》2007年第12期1951-1952,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨腹腔镜下精索内静脉高位节段切除术治疗重度精索静脉曲张的临床疗效。方法回顾性分析腹腔镜下精索内静脉高位节段切除术治疗重度精索静脉曲张26例临床资料。结果手术过程顺利,手术时间25～50 min,平均(28±3)min,术后随访3～24个月,症状与体征全部消失,无术后复发和睾丸萎缩,术后患者妻子已怀孕8例。结论腹腔镜下精索内静脉高位节段切除术治疗重度精索静脉曲张安全、创伤小,康复快,特别适合双侧重度精索静脉曲张。Objective To probe into the clinical curative effect of laparoscopic high ligation of spermatic vein in the treatment of critical varicocele. Methods The clinical data of the 26 cases of laparoscopic high ligation of apermatic vein in the treatment of critical varicocele were reviewed and analyzed in the last two years in this hospital. Results All the 26 cases had been conducted smoothly with the operation time 25-50min,an average of （28±3 ）min. After 3-24 months being followed-up, all the symptoms and signs disappeared with no relapse and testicle atrophy. Eight wives of the patients who had been operated on got pregnant. Conclusion With soon recovery and small wound,it was safe to adopt laparoscopic high ligation of spermatic vein in the treatment of critical varicocele, especially for critical two-sided varicocele.

关 键 词：腹腔镜检查 精索静脉曲张 结扎术 

分 类 号：R699[医药卫生—泌尿科学]