精索静脉曲张是男性常见病,可引起男性不育应手术治疗,儿童患者宜早期治疗,作者对近20年共收治的218例患者,采用经腹股沟高位结扎静脉85例,经腹膜后精索内静脉高位结扎102例,经腹腔镜精索内静脉高位结扎31例,治愈率分别为93％、95％、91％。术者根据临床体会和结合文献,不同情况选择适当的术式是提高疗效的关键。 Varicocele is a common male disease, can cause male infertility should be treated surgically, children should be treated early, the author of the nearly 20 years were treated 218 cases of patients with high ligation of the inguinal vein 85 cases, the retroperitoneal spermatic cord 102 cases of high ligation of the internal venous, laparoscopic spermatic vein ligation of 31 cases of high, the cure rates were 93%, 95%, 91%. According to clinical experience and combined with the literature, choose the appropriate surgical procedures in different situations is the key to improving efficacy.