腹腔镜手术治疗精索静脉曲张113例分析

Laparoscopy for varicocele:Report of 113 cases

目的：观察腹腔镜手术治疗精索静脉曲张的临床疗效。方法：回顾分析113例精索静脉曲张患者的临床资料,均行腹腔镜下精索静脉高位结扎术。结果：手术时间20-80 min,平均术后肠功能恢复14.6 h,平均术后住院3.5天。术后16例（14.1%）出现同侧阴囊气肿,3例（2.66%）出现同侧睾丸鞘膜积液。56例随访3-36个月,2例（1.77%）复发,其余获成功。68例不育者中获随访35例,20例（57.1%）术后精液复查示有明显改善。结论：腹腔镜下精索静脉高位结扎术治疗精索静脉曲张是一种安全有效的方法。

Objective：To observe the effect of peritonexscopy for treatment of varicocele. Methods：The clinical data of 113 cases of varicocele treated by laparoscopic surgery were reviewed and analyzed retrospectively. All the cases underwent varicocelectomy under laparoscopy. Results：The operation time was 20 -80 mins. The mean bowel recovery time was 14.6 hours, and the mean hospital stay was 3.5 days. After operation, 16 patients （ 14. 1% ） developed scrotal emphysemas. 56 cases were followed up for 3 - 36 months. Varicocele recurred in 2 cases （ 1.77% ） and testicular hydrocele occurred on the affected side in 3 patients （2.66%） . Of the 68 previously infertile patlents,35 were followed up and 20 （57. 1% ） had obvious improvement in sperm counts and motilities after operation. Conclusions：Varicocelectomy under laparoscopy is safe and effective for treatment of varicocele.