低位结扎加蔓状静脉丛切除术治疗重度精索静脉曲张疗效观察

Low-set ligation pampiniform plexus ectomy treating grossly varicocele

目的 观察低位结扎加蔓状静脉丛切除术治疗重度精索静脉曲张的疗效。方法观察2004年3月至2009年12月应用低位结扎加蔓状静脉丛切除术治疗68例重度精索静脉曲张患者（其中32例伴男性不育）的治疗果。结果术后随访6～18个月，68例患者的精索静脉曲张全部消失，无复发病例。32例精索静脉曲张合并不育患者术前均有1项或多项异常，术后精子数量明显增多[（41．8±2．1）×10^9／L比（17．5±1．0）×10^9／L]，正常形态精子增多[（68．6±1．6）％比（47．4±1．0）％]，异常形态精子减少（20．5±2．4）％比（30．4±1．6）％，精子活动力明显提高。结论低位结扎加蔓状静脉丛切除术诊疗重度精索静脉曲张有较好疗效，具有临床应用价值。

Objective To explore the therapeutic effect of low set ligation and pampiniform plexus ectomy on grossly varicocele. Methods Low-set ligation pampiniform plexus ectomy opration was applied in 68 patients with grossly varicocele, including 32 patients with male infertility. Results During follow-up of 6-18 month, there was no relapse in all patients. The number of sperm and the rate of nomal form sperm of 32 patiens with male infertility increased [ （41.8 ± 2.1 ） × 10^9/L vs （ 17. 5 ± 1.0）× 10^9/L, （68. 6 ± 1.6） % vs （47. 4 ±1.0） %, all P 〈 0. 01 ]. Conclusion The operation of low-set libation oamoiniform olexus ectomv is effective to treat grosslv varicocele.