内环处小切口精索静脉集束性结扎治疗精索静脉曲张临床效果的探讨

Cluster ligation at ring incision in the treatment of varicocele

目的:探讨内环处小切口精索静脉集束性结扎治疗精索静脉曲张的临床效果。方法:局麻下经内环处小切口行精索静脉集束性结扎治疗178例精索静脉曲张患者。结果:178例患者手术疗效显著,所有患者切口I期愈合,术后3个月患者自觉症状消失,精液质量较治疗前明显改善,随访3年无复发,无睾丸萎缩、无睾丸鞘膜积液等并发症。结论:内环处小切口精索静脉集束性结扎治疗精索静脉曲张创伤小、疗效确切、设备投入少、病人费用低、手术安全易掌握,值得基层医院推广。

Objectives： To explore the clinical effect of the spermatic vein ligation at inner tiny incision in the treatment of varicocele. Methods： 178 varicocele patients were given cluster spermatic ligation at the tiny incision in the state of local anes- thesia. Results： The treatment demonstrates a significant effect on all 178 patients. Incision healed during Period I, symptoms disappeared in 3 month, and semen quality improved significantly. Followed up for 3 years, no recurrence, testis atrophy, or complications such as hydrocele testis were reported. Conclusion ： Cluster ligation of spermatie vein in the treatment of varicocele featuring little trauma, definite curative effect, less equipment investment, low cost, safe and easy operation, is worth promoting in primary hospital.