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摘要:
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目的:探讨原发精索静脉曲张新的治疗方法.方法:70例原发精索静脉曲张患者,年龄16~38岁;Ⅰ度 6人,Ⅱ度39人,Ⅲ度25人.采用平卧位,外环口处切口,精索内静脉集束结扎,保留淋巴管,睾丸动脉,输精管.结果:70例患者,Ⅰ度患者,术后第2 d,症状消失,Ⅱ度患者术后第7 d,拆线后症状消失;Ⅲ度患者随诊6个月症状消失,1例阴囊水肿,8例不育者,6例精液明显改善,2例精液不液化.随诊3~6个月,未见有复发.结论:该手术方法简单,有效,避免复发的可能,改善精液的质量,是完全达到治愈精索静脉曲张的新方法.
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参考文献:
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黄平治.李永海 男性不育 1990 Ito H.Fuse H.Minagawa H Intemal spermatic veinprostaglandin in varicocele patients 1998 Evers JL.Collins JA Assessment of efficacy of varicocele repairfor male subfertility:a systematic review 2003(9372) Coolsaet B L R A The varicocele syndrome:venography determining the optimal level for surgical management 1990(6) Kass E J.Marcol B Results of varicocele surgery in adolescents:a comparison of techniques 1992(2) Su LM.GoldsteinM.Schlegel PN The effect of varicocelectomy on serum testosterone levels in infertile men with varicoceles 1995(5)
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