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自1901年Kelling首次报告以来,腹腔镜已广泛用于临床,作者用腹腔镜行精索内静脉结扎以治疗男性不育患者。其方法为:先穿刺作人工气腹,再经其他腹部孔口分别插入窥查镜,手术镜。于腹股沟内环近端辨明精索静脉束,并经后腹膜上小切口予以显露,分离后用血管银夹钳夹结扎精索内静脉。术中注意认清及保护精索内动脉,需双侧结扎者可一次进行。从1990年6月以来作者共作8例,阴囊水肿是唯一的术后并发症,无其他并发症发生,术后恢复正
Since Kelling’s first report in 1901, laparoscopy has been widely used clinically, the authors use laparoscopic spermatic cable ligation to treat male infertility patients. The method is as follows: First puncture artificial pneumoperitoneum, and then through the other abdominal orifice were inserted into the scope of the mirror, surgical mirror. Identify the varicocele in the proximal inguinal ring and expose it to a small incision on the peritoneum. After separation, ligulate the spermatic vein with a vascular clamp. Pay attention to identify and protect intraoperative spermatic artery, requiring bilateral ligation can be carried out once. From June 1990 since the authors of a total of 8 cases, scrotal edema is the only postoperative complications, no other complications, postoperative recovery