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目的:观察经外环下切口精索静脉结扎术治疗复发性精索静脉曲张的临床效果。方法:30例精索静脉曲张患者行经腹股沟入路精索静脉高位结扎术,术后平均1.6年复发,采用外环下切口二次手术治疗,观察术后疗效及并发症。结果:除1例出现局部阴囊水肿外,其余均未见明显并发症,且术后随访观察两年未见再次复发。结论:对于精索静脉曲张外科手术治疗后复发的患者,行原切口找寻精索困难,采用外环下切口可以快速准确地找寻精索,比原位切口手术效率更高,且术后复发率低。
Objective: To observe the clinical effect of varicocele ligation in the treatment of recurrent varicocele. Methods: Thirty patients with varicocele underwent high ligation of inguinal varicocele. After an average 1.6 years of recurrence, the patients underwent second surgery with an under-annular incision to observe the curative effect and complications. Results: In addition to 1 case of local scrotal edema, the other no significant complications, and follow-up observation of two years no recurrence. Conclusion: For the patients with recurrent varicocele after surgical treatment, the original incision to find the spermatic cord difficult to find, the use of the outer ring incision can quickly and accurately find the spermatic cord, the incision than the original operative efficiency, and the recurrence rate low.