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) back to normal. Mean spermatic cord vein diameter was (1.720 ± 0.034) mm after surgery. Conclusion: The laparoscopic spermatic vein ligation by dual-port methods for varicocele is a safe and effective method, which features fewer traumas and quick recovery and an aesthetic effect, and is suitable for the treatment of oligo-asthenospermia caused by varicocele, improve the quality of semen.%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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