摘要
目的对比分析曲张精索静脉显微剥脱术及腹腔镜下精索静脉高位结扎术治疗精索静脉曲张患者的疗效。方法该文随机抽取该院于2015年9月—2017年1月收治的62例精索静脉曲张患者为研究对象。按照患者本身及其家属的治疗意愿将其均匀分成显微治疗组和腹腔镜治疗组两个组别。分别为两组患者提供曲张精索静脉显微剥脱治疗和腹腔镜下精索静脉高位结扎治疗。观察两组患者的精液质量改善情况、静脉曲张复发率、阴囊水肿发生率、睾丸疼痛发生率之间的差异。结果腹腔镜治疗组患者的精液质量改善率(80.65%)略高于显微治疗组(74.19%),但其差异无统计学意义;显微治疗组患者的复发率(3.23%)、阴囊水肿发生率(0.00%)、睾丸疼痛发生率(6.45%)均低于腹腔镜治疗组患者的复发率(19.35%)、阴囊水肿发生率(12.90%)、睾丸疼痛发生率(12.90%),除睾丸疼痛外,其他两项的均差异有统计学意义(P<0.05)。结论曲张精索静脉显微剥脱术在术后复发率控制、并发症控制方面优于腹腔镜下精索静脉高位结扎术。
Objective To compare the curative effect of microsurgical varicocelectomy stripping and laparoscopic high ligation or internal spermatic vein for varicocele. Methods 62 cases of patients with varicocelectomy admitted and treated in our hospital from September 2015 to January 2017 were selected and divided into the microsurgical group and the laparoscopic group according to the treatment willingness, and the two groups were respectively treated with microsurgical varicocelectomy stripping and laparoscopic high ligation or internal spermatic vein for varicocele, and the semen quality improvement situation, recurrence rate of varicocelectomy, incidence rates of edema of scrotum and testicular pain of the two groups were observed. Results The improvement rate of semen quality in the laparoscopic group was slightly higher than that in the microsurgical group（80.65% vs 74.19%）, and the difference was not statistically significant, and the recurrence rate and incidence rates of edema of scrotum and testicular pain in the microsurgical group were lower than those in the laparoscopic group（3.23%,0.00%, 6.45% vs 19.35%, 12.90%, 12.90%）, and the differences in the other indexes but the testicular pains were statistically significant（P〈0.05）. Conclusion The recurrence rate control and complication control of microsurgical varicocelectomy stripping are better than those of laparoscopic high ligation or internal spermatic vein for varicocele.
出处
《系统医学》
2017年第11期68-70,共3页
Systems Medicine
关键词
曲张精索静脉显微剥脱术
腹腔镜下精索静脉高位结扎术
临床效果
Microsurgical varicocelectomy stripping
Laparoscopic high ligation or internal spermatic vein for varicocele
Clinical effect
