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1、腹腔镜下精索静脉高位结扎术的临床疗效分析［摘要］日的：探讨腹腔镜下精索静脉高位结扎术的临床疗效。方法：2008年7月〜2010年10月，本院选择132例II度以上原发性精索静脉曲张患者，进行了腔镜下精索静脉高位结扎手术治疗，年龄(31±4.5)岁，双侧21例，左侧111例；III度26例，II度106例。其中98例患者婚后不育，病程1〜9年，女方经检查未发现异常。52例患者冇阴囊坠痛感。实验室检查101例精液异常。均行腹腔镜下精索静脉高位结扎术。结果:132例手术顺利成功，手术时间为(40土18.7)min,出血量为(8±2.3)ml,
2、术中无周围脏器损伤，术后无切口感染，无肠梗阻等并发症,术后平均住院2.6(2~3)d,术后随访24个月，有7例复发，2例并发鞘膜积液，1例发生睾丸萎缩(体积6%为质量提高)。结论：腹腔镜下精索静脉高位结扎手术安全可靠、效果满意，创伤轻微，腹部切口细小美观,恢复快、住院时间短。［关键词］精索静脉曲张；高位结扎术；腹腔镜［中图分类号］R656［文献标识码］A［文章编号］1674-4721(2011)04(c)-028-02ClinicalefficacyoflaparoscopicvaricocelehighligationTANSheng
3、l,GUOZhenghui2,DUNingfengl1.DepartmentofUrology,YoucountryPeople'sHospital,IlunanProvince,Zhuzhou412300,China;2.DepartmentofUrology,SecondAffiliatedHospitalofZhongshanUniversity,GuangdongProvince,Guangzhou510176,China[Abstract]Objective:Toevaluatetheclinicalefficacyoflap
4、aroscopicvaricocelehighligation.Methods:Selected132patientswithprimaryvaricoceleabovegradeIIinourhospitalFromJuly2008toOctomber2010.Allofthemwereconductedlaparoscopicvaricocelehigh1igationsurgeryage(31±4.5)yearsold,21caseswithbilateral,111casesoftheleft;IIIdegrees26cases
5、,IIdegrees106cases.Amongthem,98patientswereinfert订ityaftermarriage,Historyofdiseaseswasbetween1~9years,thewomanwasnotabnormalafterinspection.52patientswithscrotalpain.101casesofabnormalsemenlaboratorytests.Underwentlaparoscopicvaricoceleligation.Results:132patientssurger
6、ywerecompletedsuccessfully,theoperationtime(40+18.7)min,bloodloss(8+2.3)ml,notheorganinjury,nopostoperativewoundinfection>bowelobstructionandothercomplications,Theaveragehospitalwas2.6(2-3)daypost-operatively.Al1ofthepatientswerefollowedup24monthsafteroperation,7caseswer
7、erecurrenee,2patientswereconcurrenthydrocele,1caseweretesticularatrophy(volume6%forthequalityimprovement).Conclusion:Laparoscopicvaricocelehighligationissafe,reliable,satisfactory,minortrauma,andbeautifulsmallabdominalincision,quickerrecovery,shorterhospitalstay.[Keyword
8、s]Laparoscopic；Varicocele；Ligation精索静脉曲张是一种男性常见的疾病，发病率较高，症状轻重不一，临床上通常分为I、II、III度，对II度以上症状明显或精液异常并不育症的患者
