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精索内静脉曲张(VC)是外科常见病,可导致不育及其它不适症状,一般需住院手术治疗。笔者自1996年5月～1999年5月三年间经门诊手术治疗31例VC患者,与同期住院手术病人比较有较多优点,现报告如下。 一、资料与方法 1.临床资料:本组31例,年龄18～59岁,平均35岁,其中有2例为双侧VC,其余均为左侧。临床表现有阴囊及会阴部酸胀不适、下坠痛,有时伴有腰部及下腹部放射痛。行走及劳动后症状加重,平卧及休息后可缓解。部分有植物神经功能紊乱。其中有12例婚后不育,精液化验不正常、精子数少、活力低。5例做选择性左肾静脉造影,有精索内静脉充盈现象。
Varicocele (VC) is a common surgical disease, can lead to infertility and other symptoms, generally require hospital surgery. The author from May 1996 ~ May 1999 three years outpatient surgery in 31 cases of VC patients, with the same period hospitalized patients have more advantages, are as follows. First, the data and methods 1. Clinical data: The group of 31 cases, aged 18 to 59 years, mean 35 years, of which 2 cases of bilateral VC, the rest are left. Clinical manifestations of the scrotum and perineal soreness discomfort fall pain, sometimes accompanied by waist and lower abdomen radiating pain. After walking and labor symptoms worsened, supine and rest can be alleviated. Some have autonomic dysfunction. Among them, 12 cases of infertility after marriage, abnormal semen test, sperm count, low vitality. 5 cases of selective left renal vein angiography, there is spermatic vein filling phenomenon.