小切口集束型腹膜后精索静脉高位结扎术1080例报告  

The operation of high-position small incision for varicocele(1 080 cases reports)

作　　者：齐丽丽[1] 杨文增[1] 师晓强[1] 马涛[1] 张伟[1] 崔振宇[1] 

机构地区：[1]河北大学附属医院泌尿外科,保定071000

出　　处：《中国男科学杂志》2010年第5期37-39,共3页Chinese Journal of Andrology

摘　　要：目的 探讨小切口集束型腹膜后精索静脉高位结扎术的优越性.方法 选取我院自2005年7月至2009年7月精索静脉曲张患者1 080例的临床资料,通过研究术前准备、手术过程、预后等指标,最终评价此种手术方式的临床效果.结果 1 080例手术疗效显著,切口长度2.2～3.4cm,平均2.8cm.手术时间约15～28min,平均22min.3个月随访时,972例精液质量有改善,精子密度较术前升高（13.65±5.68）×106/ml,精子活力较术前升高（20.95±9.58）%,精子畸形率较术前下降（24.73±4.87）%.术后2例出现阴囊水肿.结论 小切口集束型腹膜后精索静脉高位结扎术治疗精索静脉曲张具有手术时间短、治疗费用低、精液改善率高和术后胃肠功能恢复快等优点,值得基层医院推广.Objective To evaluate the advantages of high-position small incision for varicocele. Methods Clinical findings of 1 080 cases with varicocele who recived high-position small incision in our hospital from July of 2005 to July of 2009 were analyzed. Results The length of incision was 2.2-3.4cm （mean 2.8cm） and operated-time was 15-28min （mean 22rain）, the quality of 90%（972/1 080）semen was improved in three months following-up. Conclusion The operation of high-position small incision with short operation time and stomach intestine recovery time merits to be applied in small hospital for treatment of varicocele.

关 键 词：精索静脉曲张/外科学 结扎术 

分 类 号：R697.24[医药卫生—泌尿科学]