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fu qiang jing jing suo jing mai gao wei jie zha 32 li
Author(s): 
Pages: 262
Year: Issue:  3
Journal: Qianwei Journal of Medicine & Pharmacy

Abstract: 我院自2002-04~2005-09行腹腔镜精索静脉高位结扎术、丝线镜下打结法结扎精索静脉32例。年龄17~35岁。其中左侧精索静脉曲张Ⅱ°11例、Ⅲ°度20例、右侧Ⅰ°6例、Ⅲ°4例。术前均行B超检查排除左肾和腹膜后占位病变、积水等继发性原因。手术方法:15例行全身麻醉,17例行连续硬膜外麻醉。患者取仰卧位,臀部垫高,并向健侧倾斜,以利于腹腔脏器因重力而自动滑向健侧,双侧者术中可通过手术台的左右侧倾斜来显露术野以适应术者要求,操作者要在所结扎血管的对侧。于脐下缘弧行切开1cm切口,插入气腹针,建CO2气腹,保持气腹压力在1.2~1.4kPa(1kPa=7.5mmHg),提起腹壁于此处穿入1c
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