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目的探讨小切口腹膜后精索内静脉高位结扎术治疗精索静脉曲张的手术效果。方法回顾分析行小切口腹膜后精索内静脉高位结扎术的205例精索静脉曲张患者的疗效和随访情况。结果 205例手术均获成功,无一例发生副损伤。平均单侧手术时间为22 min,复发2例,复发率0.98%,术后阴囊坠胀不适症状全部减轻或消失,术后精液质量改善率达76.5%,1年内致孕率达35.3%,无一例发生睾丸萎缩或坏死。结论小切口腹膜后精索内静脉高位结扎术治疗精索静脉曲张,具有操作简单、创伤小、并发症少、疗效确切、费用较低、复发率低、易推广等优点。
Objective To investigate the effect of small incision spermatic vein ligation in the treatment of varicocele. Methods We retrospectively analyzed the curative effect and follow-up of 205 patients with varicocele treated with small incision and high ligation of retroperitoneal spermatic vein. Results All the 205 surgeries were successful. No side injury occurred. The average unilateral operation time was 22 min, recurrence in 2 cases and recurrence rate was 0.98%. All postoperative symptoms of scrotal bulge were relieved or disappeared. The postoperative sperm quality improvement rate was 76.5%, and the pregnancy rate was 35.3% within 1 year. A case of testicular atrophy or necrosis. Conclusion Small incision and retroperitoneal spermatic vein ligation of high varicocele treatment of varicocele has the advantages of simple operation, less trauma, fewer complications, effective curative effect, lower cost, low recurrence rate, easy to promote and so on.