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作者对12例精索静脉曲张并不育者用腹腔镜行精索静脉结扎术。其中左侧10例,双侧2例。按Comhaire’s分级左侧曲张Ⅰ°2例,Ⅱ°6例,Ⅲ°4例。精液检查正常者2例,精子数减少者6例,精子活动不良者4例。除2例单侧曲张并严重少精者FSH水平轻度升高外,其余患者FSH,LH和T水平均正常。3例有阑尾手术史者亦成功地施行了腹腔镜手术。手术方法:前7例采用全麻,后5例采用1%利多卡因和0.25%布比卡因混合液局部浸润麻醉。麻醉后于脐下用Veress针行腹腔穿刺,用X线确认穿刺针进入腹腔,全麻患者由此向腹腔注入4～5升CO
The author of 12 cases of infertility varicocele laparoscopic spermatic vein ligation. Including the left side of 10 cases, bilateral in 2 cases. According to Comhaire’s classification left Ⅰ Ⅰ 2 cases, Ⅱ ° 6 cases, Ⅲ ° 4 cases. 2 cases of normal semen examination, sperm count reduction in 6 cases, sperm motility in 4 cases. Except for 2 cases of unilateral varicose veins and severe oligospermia FSH levels were slightly elevated, the rest of the patients FSH, LH and T levels were normal. Laparoscopic surgery was successfully performed in 3 patients with history of appendix surgery. Surgical methods: The first seven cases were treated with general anesthesia, the latter five cases were treated with local infiltration anesthesia with 1% lidocaine and 0.25% bupivacaine. After anesthesia with Veress line under the umbilical cord abdominal puncture, X-ray to confirm the puncture needle into the abdominal cavity, general anesthesia patients to the peritoneal injection of 4 to 5 liters of CO