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目的:探讨腹腔镜技术在治疗精索静脉曲张应用。方法:2005-09/2008-02对12例16侧精索静脉曲张患儿采用腹腔镜技术行精索静脉结扎术。结果:12例16侧精索静脉曲张患儿行腹腔镜精索静脉结扎术,9例13侧取得满意效果。其中2例术后出现阴囊水肿,对症处理缓解;1例术后3个月复发,再次腹腔镜手术治愈。结论:采用腹腔镜技术行治疗精索静脉曲张,具有解剖精细、结扎准确,创伤小、恢复快,疗效可靠等优点,可作为治疗精索静脉曲张的首选方法。
Objective: To investigate the application of laparoscopy in the treatment of varicocele. Methods: From January 2005 to February 2008, 12 cases of 16 patients with varicocele underwent laparoscopic spermatic vein ligation. Results: Twelve cases of 16 patients with varicocele underwent laparoscopic varicocele ligation, 9 cases of 13 sides achieved satisfactory results. Among them, scrotal edema occurred in 2 cases and symptomatic treatment was relieved. One case had recurrence 3 months after operation and was cured by laparoscopic operation again. Conclusion: The laparoscopic technique for the treatment of varicocele has the advantages of fine dissection, accurate ligation, small trauma, quick recovery and reliable curative effect. It can be used as the first choice for the treatment of varicocele.