精索静脉曲张的显微外科引流术

• 作 者: 黄平治
• 出 处: 国外医学(计划生育分册)
• 发表日期: 1985年04期
• 关键词: 精索静脉曲张 精索内静脉 引流术 显微外科 精液质量 手术适应症 隐静脉 精子计数 精子质量 活动力

精索静脉曲张的标准手术方法是精索内静脉的高位结扎,但有时可复发及发生并发症,且20～50%病人手术后精液质量未改善。1970年 Ishiga-mi 倡议将已经结扎的精索内静脉远端与隐静脉吻合,使精索静脉曲张的扩张静脉内所含血液引流,此法比较复杂但有效,且较单纯阻断精索内静脉更符合生理。材料与方法手术适应症为:1.精子计数<20×10~6或活动力异常(第1小时45%)至少二次,

The standard surgical method of varicocele is the high ligation of the spermatic vein, but sometimes recurrence and complications, and 20 to 50% of patients did not improve the quality of the semen after surgery. 1970 Ishiga-mi initiative ligation of the distal spermatic vein with the saphenous vein anastomosis, varicose veins expansion of the blood contained in the venous drainage, this method is more complex but effective, and more simple block within the spermatic cord Veins more physiologically. Materials and methods Surgery indications: 1. Sperm count <20 × 10 ~ 6 or abnormal activity (first hour 45%) at least twice,