摘要
精索静脉曲张是常见病之一,严重者可影响工作和正常生活。而精索静脉曲张症患者中有21—42％併发男性不育症。因此常以男性不育症来就诊。根据精索静脉曲张引起不育的发病机制,精索静脉曲张确是男性不育症重要的原因。在精索静脉曲张的治疗方法上,迄今以手术治疗为最有效的方法。昔时采用精索静脉高位结扎切断方法,但疗效欠佳。
The origin,number of branches, mode of conjuation as well as the outer diameter of sections of the inferior epigastric vein and the testicular veins were studied on 57 specimens. Testicular vein, the recipient vessel of anastomosis, can be divided into abdominal segment and infuinal canal segment. The outer diameter were 3. 1(1.0-60) and 1.55(1.0-20) mm respectively. There were 1-2 branches at the abdominal segment and 2-8 branches at inguinal canalsegment. The inferior epigastric vein, the donor vessel, has an outer diameter or 2.0-60 mm at the lower end, 2.2(1.0-40)mm at middle 1/3 and 2.3(1.0-40) mm at the upper part. The medial branch(if it has 2 branches) was slightly greater than the lateral one (2.2>1.6) mm. The average length was 10.8(4-16)cm,the medial branch was slightly linger than the lateral branch(9.2:8.8).The first Selected site of anastomosis will be at the inguinal canal. A 4-6 cm incision can be made 3 cm above the inguinal ligament, the midpoint of the incision is at the upper edge of inguinal externa ring, incise the abdominal muscle, push the perutonium to expose the inferior epigastric and the testicular vein. These two veins are in close contact with similar diameter and dnough length for anastomosis. The operation is simple and easy, the rate of success is high and the therapeutic effect is marked.
