Lenk S, Fahlenkamp D, Gliech V, Lindeke A
Department of Urology, Charité Hospital, Humboldt University of Berlin, Germany.
J Androl. 1994 Nov-Dec;15 Suppl:34S-37S.
Varicocele treatment was performed in 331 patients. One hundred fifteen patients were operated upon according to the technique of Bernardi (1947), 80 patients underwent occlusion of the testicular vein by detachable balloons, 47 patients were treated with percutaneous sclerotherapy, and 89 patients underwent laparoscopic varicocele treatment. The laparoscopic occlusion of the testicular vessels was done in two different ways: (1) coagulation of the testicular veins with electrocoagulating tweezers, and (2) occlusion of the suprainguinal testicular vessel with metal clips and transection of the vessels. Laparoscopic Group 1 showed a clearly higher complication rate and recurrence rate in comparison with the other methods, whereas in Group 2 we observed the best results with only 4% complications and recurrences. Because of its higher complication rate and recurrence rate, laparoscopic electrocoagulation of the testicular veins proved to be inadequate.
对331例患者进行了精索静脉曲张治疗。115例患者按照贝尔纳迪（1947年）的技术进行手术，80例患者通过可脱性球囊闭塞睾丸静脉，47例患者接受经皮硬化疗法治疗，89例患者接受腹腔镜精索静脉曲张治疗。腹腔镜下闭塞睾丸血管有两种不同方法：（1）用电凝镊凝固睾丸静脉；（2）用金属夹闭塞腹股沟管上方的睾丸血管并横断血管。与其他方法相比，腹腔镜第1组的并发症发生率和复发率明显更高，而在第2组中我们观察到了最佳结果，并发症和复发率仅为4%。由于其较高的并发症发生率和复发率，睾丸静脉的腹腔镜电凝术被证明是不足的。
