双孔法腹腔镜精索静脉高位结扎术治疗精索静脉曲张32例临床观察  

Clinical observation on laparoscopic spermatic vein ligation in the treatment of varicocele by dual-port methods

作　　者：顾擎[1,2] 王锡智[2] 赵皙萍[2] 

机构地区：[1]苏州大学医学院,江苏苏州215006 [2]上海交通大学医学院苏州九龙医院泌尿外科,江苏苏州215021

出　　处：《中国医药导报》2011年第35期61-62,共2页China Medical Herald

摘　　要：目的:探讨双孔法腹腔镜下行精索静脉高位结扎术的方法和临床效果。方法:采用脐内和反麦氏点双孔法经腹腔镜下行精索静脉高位结扎术,术中保留精索动脉,并对术后疗效和影响进行临床研究。结果:32例患者术后随访16个月,精子密度恢复正常者占84.38%,精子存活率恢复正常者占90.63%,精子活动率(A+B级)恢复正常者占96.88%,术后精索静脉内径(1.720±0.034)mm。结论:双孔法腹腔镜下精索静脉高位结扎术损伤少、安全有效、切口美观、术后恢复快,适宜用于治疗由精索静脉曲张引起的男性少弱精子症,并能明显改善精液质量。Objective： To evaluate the clinical efficacy of the laparoscopic spermatic vein ligation by dual-port methods in the treatment of varicocele.Methods： The umbilical point and anti-McBurney point were chosen for laparoscopic spermatic vein ligation.The spermatic artery was preserved.The clinical data was analyzed respectively.Results： 16 months after surgery,follow-up was made in 32 patients.Normal sperm density rate was 84.38%,normal sperm survival rate was 90.63%,96.88% patients sperm motility（A＋B grade） back to normal.Mean spermatic cord vein diameter was（1.720 ± 0.034） mm after surgery.Conclusion： The laparoscopic spermatic vein ligation by dual-port methods for varicocele is a safe and effective method,which features fewer traumas and quick recovery and an aesthetic effect,and is suitable for the treatment of oligo-asthenospermia caused by varicocele,improve the quality of semen.

关 键 词：精索静脉曲张 精索静脉结扎术 腹腔镜技术 双孔法 精液质量 

分 类 号：R697.24[医药卫生—泌尿科学]