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目的探讨应用经脐单孔单通道腹腔镜下精索静脉高位结扎术治疗精索静脉曲张的临床可行性和有效性。方法采用经脐单孔单通道腹腔镜下精索静脉高位结扎术治疗精索静脉曲张30例,年龄20-38岁,左侧26例,右侧2例,双侧2例。结果 30例均取得成功,单侧手术时间30-55min,双侧手术时间40-60min,无术中并发症发生,术后住院时间1-5d,术后随访1-3个月,复查B超未见患侧睾丸萎缩、复发等情况。结论经脐单孔单通道腹腔镜下精索静脉高位结扎术治疗精索静脉曲张在临床上是可行、有效的,是值得临床推广应用的微创技术。
Objective To investigate the clinical feasibility and effectiveness of single-hole transvaginal laparoscopic transsphenoidal ultrasonography in the treatment of varicocele. Methods 30 cases of varicocele were treated with transperitoneal laparoscopic transvaginal stenosis via umbilical single hole. Thirty patients (20-38 years old) with 26 cases left, 2 cases right and 2 cases bilateral. Results 30 cases were successful, unilateral operation time 30-55min, bilateral operation time 40-60min, no intraoperative complications, postoperative hospitalization 1-5d, postoperative follow-up 1-3 months, review of B- No ipsilateral testicular atrophy, recurrence and so on. Conclusions It is feasible and effective to treat varicocele through transperitoneal laparoscopic varicocele ligation via single hole in umbilical cord. It is a minimally invasive technique worthy of clinical application.