| 双孔法腹腔镜精索静脉高位结扎术治疗精索静脉曲张32例临床观察 |
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| 引用本文： | 顾擎,王锡智,赵皙萍.双孔法腹腔镜精索静脉高位结扎术治疗精索静脉曲张32例临床观察[J].中国医药导报,2011,8(35):61-62. |
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| 作者姓名： | 顾擎 王锡智 赵皙萍 |
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| 作者单位： | 1. 苏州大学医学院,江苏苏州215006;上海交通大学医学院苏州九龙医院泌尿外科,江苏苏州215021
2. 上海交通大学医学院苏州九龙医院泌尿外科,江苏苏州,215021 |
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| 摘 要： | 目的：探讨双孔法腹腔镜下行精索静脉高位结扎术的方法和临床效果。方法：采用脐内和反麦氏点双孔法经腹腔镜下行精索静脉高位结扎术,术中保留精索动脉,并对术后疗效和影响进行临床研究。结果：32例患者术后随访16个月,精子密度恢复正常者占84.38%,精子存活率恢复正常者占90.63%,精子活动率（A＋B级）恢复正常者占96.88%,术后精索静脉内径（1.720±0.034）mm。结论：双孔法腹腔镜下精索静脉高位结扎术损伤少、安全有效、切口美观、术后恢复快,适宜用于治疗由精索静脉曲张引起的男性少弱精子症,并能明显改善精液质量。
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| 关 键 词： | 精索静脉曲张 精索静脉结扎术 腹腔镜技术 双孔法 精液质量 |
Clinical observation on laparoscopic spermatic vein ligation in the treatment of varicocele by dual-port methods |
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| GU Qing,WANG Xizhi,ZHAO Xiping.Clinical observation on laparoscopic spermatic vein ligation in the treatment of varicocele by dual-port methods[J].China Medical Herald,2011,8(35):61-62. |
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| Authors: | GU Qing WANG Xizhi ZHAO Xiping |
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| Institution: | GU Qing1,2,WANG Xizhi2,ZHAO Xiping2 1.Medical College of Soochow University,Jiangsu Province,Suzhou 215006,China,2.Suzhou Kowloon Hospital Shanghai Jiaotong University Medical School,Suzhou 215021 |
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| Abstract: | Objective: To evaluate the clinical efficacy of the laparoscopic spermatic vein ligation by dual-port methods in the treatment of varicocele.Methods: The umbilical point and anti-McBurney point were chosen for laparoscopic spermatic vein ligation.The spermatic artery was preserved.The clinical data was analyzed respectively.Results: 16 months after surgery,follow-up was made in 32 patients.Normal sperm density rate was 84.38%,normal sperm survival rate was 90.63%,96.88% patients sperm motility(A+B grade) ba... |
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| Keywords: | Varicocele Spermatic vein ligation Laparoscopic technique Dual-port methods Semen quality |
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