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目的研究分析精索内静脉栓塞术与腹腔镜精索内静脉高位结扎术治疗原发性精索静脉曲张的临床效果对比。方法 60例原发性精索静脉曲张患者,根据治疗方法不同分成精索内高位结扎组和精索内静脉栓塞组,各30例。精索内高位结扎组应用精索内高位结扎术治疗,精索内静脉栓塞组应用精索内静脉栓塞治疗。分析比较两组患者手术时间、住院时间、不良反应发生情况及1年精索静脉曲张的复发率。结果精索内高位结扎组手术时间(38.2±15.8)d短于精索内静脉栓塞组的(78.5±20.4)d,精索内高位结扎组的住院时间(3.5±0.7)d长于精索内静脉栓塞组的(1.5±0.5)d,精索内高位结扎组复发率3.7%低于精索内静脉栓塞组的30.0%,精索内高位结扎组并发症发生率16.7%高于精索内静脉栓塞组的0,差异均有统计学意义(P<0.05)。结论治疗精索静脉曲张,精索内高位结扎组时间短,并发症少;介入性栓塞手术无瘢痕,恢复最快,复发率低。可依据原发性精索静脉曲张患者的具体情况使用选择相应手术方法。
Objective To study the clinical effects of intravenous sphincter and laparoscopic spermatic vein ligation in the treatment of primary varicocele. Methods Sixty patients with primary varicocele were divided into high ligation group and spermatic vein thromboembolism group according to different treatment methods, 30 cases in each. High sperm ligation group sperm ligation within the application of high ligation, spermatic vein thrombolysis group spermatic vein thrombosis treatment. The operation time, hospitalization time, incidence of adverse reactions and recurrence rate of 1-year varicocele were compared between the two groups. Results The duration of operation in the high ligation group (38.2 ± 15.8 days) was shorter than that in the stenotic group (78.5 ± 20.4 days), and the length of stay in the high ligation group (3.5 ± 0.7 days) was longer than that in the spermatic cord Intravenous embolism group (1.5 ± 0.5) d, spermatic cord ligation group recurrence rate 3.7% lower than the spermatic vein thrombolysis group 30.0%, spermatic cord ligation group complication rate was 16.7% higher than spermatic cord Venous embolization group 0, the difference was statistically significant (P <0.05). Conclusions The treatment of varicocele and high ligation in the spermatic cord has short time and few complications. There is no scar in the interventional embolization, and the recovery is fastest and the recurrence rate is low. According to the specific conditions of patients with primary varicocele use the appropriate surgical methods.