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Objective:To explore the efficacy,advantage and safety of laparoscopic high ligation of spermatic vein for treatment of varicocele.

目的:探讨腹腔镜精索静脉高位结扎术治疗精索静脉曲张的有效性、安全性及价值。

The shunttype operation of spermatic vein is a effective method for vaticocele treatment.

精索内静脉转流术是治疗精索静脉曲张有效的手段之一。

high ligation of the left internal spermatic vein for bilateral varicocele was safe and effective.

双侧精索静脉曲张右侧不做治疗,仅行左侧精索静脉结扎术是安全、有效的。

Objective To compare the value of internal spermatic vein high ligation by lapascopic and open operation for varicocele.

目的比较腹腔镜和开放手术行腹膜后精索静脉高位结扎术治疗精索静脉曲张手术中,前者是否比后者更具优越性。

Objective: To investigate the effects of duration of varicocele on the outcome of varicocelectomy in rat.

目的:利用大鼠制作相关的动物模型来研究精索静脉曲张持续时间对精索内静脉结扎术效果的影响。

Abstract] Objective To analyze and observe the curative effects of high ligation by laparoscopy and retroperitoneal approach for the treatment of varicocele.

目的 分析并观察治疗精索静脉曲张的两种手术方法,总结精索静脉曲张患者的术后疗效。

Results In the group of 67 cases treated with high ligation by laparoscopy,the scrotum discomfort of left scrotum was lightened obviously after operation of 2~4 days in 60 cases,the expanding varicosity vein disappeared or was postponed obviously.In the last cases,5 cases had obvious improvement after operation of 10 days and 2 cases felt light scrotum discomfort after operation of 3 months.

结果 腹腔镜下高位结扎精索静脉组67例中,60例术后2~4天内左侧阴囊坠痛感明显改善,阴囊内曲张的精索静脉明显减缓或消失,5例在术后10天内上述症状明显改善,2例患者上述症状轻度改善,术后随访3个月左侧阴囊仍有轻度坠痛感;本组中有22例不育症患者在术后复查精液常规,精子数及活动率均明显改善。

In the group of 115 cases treated with high ligation by retroperitoneal approach,the scrotum discomfort of left scrotum was lightened obviously after operation of 2~4 days in 67 cases,the expanding varicosity vein disappeared or was postponed obviously.

结果 腹腔镜下高位结扎精索静脉组67例中,60例术后2~4天内左侧阴囊坠痛感明显改善,阴囊内曲张的精索静脉明显减缓或消失,5例在术后10天内上述症状明显改善,2例患者上述症状轻度改善,术后随访3个月左侧阴囊仍有轻度坠痛感;本组中有22例不育症患者在术后复查精液常规,精子数及活动率均明显改善。

Results 12 cases as abdominal hernia (of which indirect hernia 9 cases, direct hernia 2 cases, femorocele 1 case), ultrasonography shows middle-high echo or linkage heterogeniety echo clumps; 8 cases as hydrocele, Ultrasonogram shows anechoic; 2 cases as cryptorchidism, ultrasonography shows normal testicular middle-echo; 4 cases as lymph node mass (of which lymphoma 2 cases, lymph node metastasis 1 case, lymph node inflammatory change 1 case), acoustic image shows low weak echo; 4 cases as substance mass (of which fibroma 1 case, spermatic cord tumor 1 case, Desmoid tumor 1 case, spermatic cord inflammation 1 case), Ultrasonography shows non-uniformity middle-highor low echo.

结果 12例为腹外疝(其中斜疝9例、直疝2例、股疝1例),声像图表现为中高回声或混杂性回声团块;8例为鞘膜积液,声像图表现为无回声;2例为隐睾,声像图表现为似正常睾丸样中等回声;4例为淋巴结包块(其中淋巴瘤2例、淋巴结转移1例、淋巴结炎性改变1例),声像图表现为低弱回声;4例为实质性包块(其中纤维瘤1例、精索肿瘤1例、韧带样瘤1例、精索炎症1例),声像图表现为非均匀性中高回声或低回声。

Objective To evaluate via CDFI whether there are differences in intratesticular arterial resistance index and testicular volume between infertile men with subclinical varococeles and infertile men without varococeles.

目的应用彩色多普勒超声对亚临床型精索静脉曲张组和无精索静脉曲张组之间睾丸体积与睾丸内动脉阻力指数是否存在差异与不育症之间关系。

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