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目的讨论精索曲张静脉结扎在改良Palomo术及经腹股沟手术方法中的临床效果。方法将2009年1月-2011年10月收治的63例精索静脉曲张患者随机分为改良Palomo术组31例、经腹股沟手术组32例。结果所有患者在术后3d内曲张精索静脉变软,改良Palomo术组的切口长度、手术时间、术中出血量、平均住院日明显优于经腹股沟手术组,组间差异有统计学意义(P<0.05);改良Palomo术组的6月内复发率及伴随的并发症均优于经腹股沟手术组,组间差异有统计学意义(P<0.05)。结论改良Palomo术优于经腹股沟结扎法,可以提高疗效,降低术后并发症发生率。
Objective To discuss the clinical effect of varicocele ligation in modified Palomo operation and trans-inguinal surgery. Methods 63 patients with varicocele treated from January 2009 to October 2011 were randomly divided into modified Palomo operation group (31 cases) and groin operation group (32 cases). Results In all patients, the varicocele veins softened within 3 days after operation. The incision length, operative time, intraoperative blood loss and average length of stay in the modified Palomo group were significantly better than those in the groin group (P <0.05). The differences were statistically significant ( P <0.05). The recurrence rate and accompanying complications in the modified Palomo group were better than those in the groin operation group, the difference was statistically significant (P <0.05). Conclusion Improved Palomo surgery is superior to the inguinal ligation method, which can improve the curative effect and reduce the incidence of postoperative complications.