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目的:总结腹腔镜治疗精索静脉曲张经验和教训。方法:回顾分析52例腹腔镜下精索静脉高位结扎术的疗效和康复情况。结果:52例手术均获成功,平均手术时间38min,出现并发症2例,2例术后阴囊气肿。术后平均住院3天,随访3～12个月无复发。结论:腹腔镜下精索静脉高位结扎术具有创伤小、恢复快、效果好、并发症少等优点,尤其适用于双侧精索静脉曲张、开放性手术后复发或有腹股沟手术史的患者。
Objective: To summarize the experience and lessons of laparoscopy in the treatment of varicocele. Methods: Retrospective analysis of 52 cases of laparoscopic varicocele ligation efficacy and rehabilitation. Results: All the 52 surgeries were successful. The average operation time was 38 minutes. Complications occurred in 2 cases and scrotal swelling in 2 cases. The average postoperative hospital stay 3 days, followed up for 3 to 12 months without recurrence. Conclusion: Laparoscopic high ligation of varicocele has the advantages of less trauma, faster recovery, better effect and less complications. It is especially suitable for patients with bilateral varicocele, recurrent open surgery or groin operation history.