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目的 :改变泌尿外科患者需入院→开刀→抗感染→拆线→出院等传统治疗模式 ,改变常规腹腔镜手术需全麻、费用高、体内残留金属异物的状况。方法 :采用局麻 ,在门诊应用直径 4mm微型腹腔镜及丝线作精索内静脉高位结扎治疗精索静脉曲张 12 7例。结果 :12 7例全部完成手术 ,术时未见明显出血及脏器损伤 ,无一例中转手术。术后随访 10 6例 ,精索静脉曲张复发率为 7.5 %。结论 :本术式是一种医患均乐意接受的新术式 ,可作为当天外科的一个项目。
OBJECTIVE: To change the traditional treatment mode of patients requiring urological surgery such as admission, surgery, anti-infection, stitches removal, and discharge to change the condition of general anesthesia, high cost and residual metal foreign body in conventional laparoscopic surgery. Methods: Local anesthesia was used in the clinic to treat 12 cases of varicocele by using 4mm diameter laparoscope and silk thread. Results: All of the 12 7 cases completed the operation. No obvious hemorrhage and organ injury occurred during the operation. No case of transit was performed. After follow-up of 106 cases, varicocele recurrence rate was 7.5%. Conclusion: This technique is a new technique accepted both by doctors and patients and can be used as a surgical item for the day.