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我们自1984年起对精索静脉曲张82例采用经髂窝精索静脉高位结扎术,现简介如下: 取髂前上棘内侧2cm向腹直肌外缘作一横行切口,长约3—4cm.切开皮肤,皮下筋膜及腹外斜肌腱膜,钝性分开腹内斜肌、腹横肌。向内推开腹膜便可显示精索内血管。将曲张的精索内静脉分离、结扎、切断。缝合各层,不放引流。优点:1.切口顺皮纹方向,有利于切口愈合,减少瘢痕。2.当精索内动,静脉难以鉴别时,即使结扎了动脉也因有输精管动脉,精索外动脉的血液供应而不致于造成睾丸萎缩,坏死。3.由于精索静
We since 1984 on 82 cases of varicocele by the iliac fimbria varicocele ligation, are as follows: Take the inside of the anterior superior iliac spine 2cm to the rectus abdominis lateral margin for a length of about 3-4cm Cut the skin, subcutaneous fascia and external oblique aponeurosis, blunt dissect the abdominal oblique, abdominal transverse muscle. Push the peritoneum inward to show spermatic vessels. The varicose spermatic vein separation, ligation, cut off. Stitched layers, letting drainage. Advantages: 1. Incision along the dermatoglyphics direction, is conducive to incision healing, reduce scarring. 2. When the spermatic cord moves, veins difficult to identify, even if the ligation of arteries also due to vas deferens, spermatic artery blood supply without causing testicular atrophy, necrosis. 3. As spermatic quiet