摘要
本文报告51例经腹腔镜精索内静脉高位结扎术患者的诊断、手术方法、手术体会、术后追踪观察的结果。根据术前对精索静脉血流方向的彩色多普勒超声检查及术中直接观测精索静脉血流方向,发现右侧亦存在静脉返流者占88.2%(45/51)。文中并就手术切口定位,精索内动、静脉的处理进行了讨论。认为经腹腔镜精索内静脉高位结扎术创伤小,可同时处理双侧精索静脉,结扎曲张静脉彻底,并发症发生率低,术后恢复快,是治疗精索内静脉曲张的较好方法。
Laparoscopic varicocelectomy, retroperitoneal ligation of the internal sparmatie vein by laparoscope, wasperfomed on the 51 cases who suffered from varicocele. According to the preoperative ultrasonlc exarnination by Doppler's method and the observation on the operation by laparoscopy, it was revealed that the reflux of the right sparmatic vein was about 88.2%. In this article. the location of incision and treatment of sparmatic vein and artery also were disccused. This method was safter, more completed and was done easily. It was able to ligate the biliteval vein just by the same incisions, with lower morbidity of complication than the open operation. All the patients recovered more quickly. This method was the better method to cure the varieocele.
出处
《广东医学》
CAS
CSCD
1996年第12期795-796,864,共2页
Guangdong Medical Journal
