论文部分内容阅读
目的探讨显微技术精索静脉结扎术在精索静脉曲张治疗中的疗效。方法对2012年1月~2013年6月期间80例需行手术治疗的精索静脉患者根据手术方式不同随机分成2组:采用传统后腹膜精索静脉高位结扎术40例,低位显微技术精索静脉结扎术40例。对2组手术时间、手术前后精液分析、术后并发症、复发率等进行比较分析。结果 80例患者均成功行手术治疗,传统高位结扎组与显微镜组两组手术时间分别为(31±11)min vs(65±13)min(P<0.05)。经过半年随访,传统高位结扎组有9例出现并发症(附睾炎1例,阴囊水肿8例);显微镜组出现2例并发症,均为睾丸疼痛;两组的精液改善率分别为35例、36例(P>0.05);传统高位结扎组有6例复发,显微镜组暂未出现复发(P<0.05)。结论较传统高位结扎手术相比显微手术治疗精索静脉曲张能更有效的用于精索静脉曲张治疗。
Objective To investigate the clinical effect of microsurgical varicocelectomy in the treatment of varicocele. Methods From January 2012 to June 2013, 80 cases of sphincter patients undergoing surgical treatment were randomly divided into 2 groups according to different surgical methods: 40 patients underwent traditional retroperitoneal varicocele ligation, 40 cases of cable vein ligation. The operation time, preoperative and postoperative semen analysis, postoperative complications and recurrence rate were compared and analyzed. Results All the 80 patients were successfully surgically treated. The operative time was (31 ± 11) min vs (65 ± 13) min in the conventional high ligation group and the microscope group (P <0.05). After six months of follow-up, there were 9 complications in the traditional high ligation group (1 with epididymitis and 8 with scrotal edema); 2 complications occurred in the microscope group, both of which were testicular pain; the improvement rates of the two groups were 35, 36 cases (P> 0.05). There were 6 cases relapsed in the traditional high ligation group, but no recurrence in the microscope group (P <0.05). Conclusion Microsurgical treatment of varicocele is more effective than traditional high ligation in the treatment of varicocele.