小儿精索静脉曲张的腹腔镜治疗及随访

目的探讨腹腔镜在小儿精索静脉曲张中的治疗作用，以及保留或切断睾丸动脉对睾丸功能的影响。方法采用腹腔镜技术对32例患儿行睾丸动、静脉高位结扎术。其中，26例保留睾丸动脉．6例切断睾丸动脉。结果术后1～3个月．29例阴囊内曲张的静脉团块完全消失。术后6个月时．24例患侧睾丸体积增加约20％～30％；15～24个月时，患侧睾丸发育程度与对侧相比，没有明显差异。所有患儿均未发生睾丸萎缩。结论应用腹腔镜技术行睾丸动、静脉结扎切断术，创伤小．并发症少。保留或切断睾丸动脉，对睾丸的发育没有明显影响．但其远期效果需进一步随访。

Laparoscopic vascular ligation for children with varicoceles

Objective To evaluate the results of laparoscopic vascular ligation for children with varioceles and compare the development of testes between testicular artery preservation group and artery division group.Methods From October 1998 to December 2003, 32 patients aged from 11 to14 years underwent laparoscopic correction of varicoceles in this institution. Among them, 26 cases underwent testicular artery preservation procedure and the other 6 cases underwent testicular artery division.Results Complete correction of varicocele was achieved in 29 patients during 1 to 3 months' followed-up term. No atrophy of testes could be noted. In 24 cases, the volume of affected testes was increased by 20% to 30% within 6 moths after operation and up to the normal levels between 12 and 24 months after operation. Conclusions Laparoscopic vascular ligation is a reliable means for correction of varicoceles in children.