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在32例左侧精索静脉曲张结扎术中,作者们应用多普勒测听睾丸搏动以防止睾丸动脉供应的损伤导致的睾丸萎缩。将D108 Sonocaid多普勒的探针插入阴囊置于睾丸表面浅动脉,在所有病例都能听到搏动声响。作腹股沟管切口,解剖精索分离内精索动脉。17例未用多普勒即找到内精索动脉,然后拇指与食指夹住此动脉,睾丸搏动声响即消失,证明单依靠提睾肌动脉和输精管动脉不足以供应睾丸。另15例依靠多普勒引导完成结扎术而避开内精索动脉。目前精索静脉曲张结扎术多采用高位腹股沟切口,因为内精索动脉在此区比腹股沟管或阴囊切口容易认出,同时也易保留提睾肌动脉和输精管动脉。但是经腹股沟高位切口分离内精索动脉有时也遇到困难,尤其是在肥胖或肌肉很发达的病人。静脉曲张不只
In 32 cases of left varicocele ligation, the authors used Doppler to measure testicular beats to prevent testicular atrophy caused by damage to the testicular artery supply. Insert the D108 Sonocaid Doppler probe into the scrotum and place it on the surface of the superficial testicular surface. Beating sound can be heard in all cases. For inguinal canal incision, dissection spermatic cord separation of the spermatic artery. Seventeen patients who did not use Doppler were found in the spermatic artery, and then thumb and index finger grip the artery, testicular beating sound disappear, proving that relying on the cremaster arteries and vas deferens alone is not enough to supply the testicles. The other 15 cases rely on Doppler guided ligation to avoid the spermatic artery. At present, varicocele ligation and more use of high inguinal incision, because the spermatic cord artery in this area than the inguinal canal or scrotal incision easier to recognize, but also easy to retain the cremaster arteries and vas deferens arteries. However, it is sometimes difficult to isolate the spermatic artery through a high inguinal incision, especially in obese or muscularly developed patients. Varicose veins not only