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用常规方法结扎和切除曲张的精索静脉术后,并发症较多,如睾丸萎缩、曲张静脉复发,鞘膜积液等,从而可影响疗效、降低术后妊娠率。为了减少上述并发症,提高由于精索静脉曲张所引起不育的手术后妊娠率。我院泌尿科从1986年6月至1987年6月对收治的精索静脉曲张30例。采取新的手术方法,即术中用显微外科技术来结扎精索内静脉。本文就手术方法、疗效预测,结合文献讨论如下: 临床资料 1.年龄21~46岁,平均29.5岁。未婚10例在健康检查时发现;已婚20例,因婚后不育3~9年求诊而发现。
Conventional methods of ligation and removal of varicocele after varicocele, complications, such as testicular atrophy, varicose vein recurrence, hydrocele, etc., which can affect the efficacy and reduce postoperative pregnancy rate. In order to reduce the above complications, improve the infertility pregnancy rate after infertility caused by varicocele. Urology in our hospital from June 1986 to June 1987 for the treatment of varicocele in 30 cases. Take a new surgical approach, intraoperative use of microsurgical techniques to ligate the spermatic vein. This article on the surgical methods, efficacy prediction, combined with the literature discussed as follows: Clinical data 1. Aged 21 to 46 years, mean 29.5 years. Unmarried 10 cases found in the health examination; married 20 cases, 3 to 9 years after marriage infertility found.