摘要
目的比较显微镜下精索静脉结扎术以及传统手术方式对于原发性精索静脉曲张的治疗效果。方法选取150例原发性精索静脉曲张患者,根据不同的手术方式将其分为开放手术组、腹腔镜组以及显微镜组,每组50例,比较3组患者的手术时间、住院时间、切口疼痛情况以及治疗后的精液质量改善情况、手术并发症以及静脉曲张复发率。结果与开放手术组和腹腔镜组比较:显微镜手术组的住院时间明显缩短,术后切口疼痛明显改善,但手术时间明显延长(均P<0.05);显微镜手术组的精液质量改善率明显增高,阴囊水肿、附睾炎、睾丸鞘膜积液以及精索静脉曲张复发率明显降低(均P<0.05)。结论显微镜精索静脉曲张手术具有损伤小,麻醉简单,切口小,术后恢复快的特点。
Objective To compare the therapeutic effects of microscopic spermatic vein ligation and traditional surgery on idiopathic varicocele.Methods A total of 150 patients with idiopathic varicocele were divided into open surgery group,laparoscopic surgery group and microscopic surgery group,with 50 patients in each group.Operation time,hospital stay,incision pain,semen quality,surgical complications and recurrence rate were compared among the three groups.Results Compared with open surgery and laparoscopic surgery,microscopic surgery shortened the length of hospital stay,relieved postoperative incision pain,prolonged operation time,improved semen quality,and decreased recurrence rates of scrotal edema,epididymitis,testicular hydrocele and varicocele(P<0.05).Conclusion Microscopic surgery for varicocele is associated with small incision,simple anesthesia and quick recovery.
出处
《实用临床医学（江西）》
CAS
2017年第9期21-23,共3页
Practical Clinical Medicine
基金
深圳市宝安区社会公益项目(2016CX051)
