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腹腔镜单纯高位精索内静脉结扎治疗小儿精索静脉曲张

Simple high position ligation of internal spermatic vein under laparoscope in the treatment of children’s varicocele

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【作者】 贾钧刘钢黄柳明李龙

【Author】 Jia Jun, Liu Gang, Huang Liuming, et al. Department of Pediatric Surgery, Peking University First Hospital, Beijing 100034, China

【机构】 北京大学第一医院小儿外科北京大学第一医院小儿外科 北京100034北京100034北京100034

【摘要】 目的 探讨腹腔镜治疗小儿精索静脉曲张的手术方法及其优越性。 方法 经腹腔镜行精索内静脉高位结扎 ,术中保留精索动脉。 结果  32例术后恢复顺利 ,无伤口感染、睾丸肿胀及发热。术后 1天~ 3天出院。 2 9例术后随访 6月~ 12月 ,均无复发 ,无睾丸萎缩。 结论 该方法具有操作简单、创伤小、恢复快的优点 ,保留精索动脉 ,防止睾丸萎缩 ,是治疗小儿精索静脉曲张行之有效的方法。

【Abstract】 Objective To explore the method and superiority of laparoscopic management of children’s varicocele. Methods High position ligation of varicocele under laparoscope was performed and internal spermatic arteries were reserved intraoperatively. Results 32 cases had smooth recovery after operation, and no complication occurred. The hospital stay was (1~3)days postoperatively. 29 cases had been followed up for 6 months~1 year and no relapse and testis atrophy occurred. Conclusions The method has the advantages of simpleness, minimal invasion and quicker recovery. Reservation of internal spermatic artery can prevent testis atrophy.

  • 【文献出处】 中国微创外科杂志 ,Chinese Journal of Minimally Invasive Surgery , 编辑部邮箱 ,2003年01期
  • 【分类号】R726.92
  • 【被引频次】5
  • 【下载频次】70
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