摘要
目的比较低位显微外科与腹腔镜精索静脉结扎术治疗精索静脉曲张性不育患者的疗效。方法40例精索静脉曲张性不育患者,随机分为两组,低位显微外科精索静脉结扎术组(A组,20例)和腹腔镜精索静脉结扎术组(B组,20例),比较术前、术后第1、6、12月的精液质量,并且追踪术后2年内配偶临床妊娠结果。结果两组术后精子密度、精子总数和(a+b)级精子数均较术前有显著提高(P<0.05),但组内术后第1、6、12月的精液质量各主要参数间对比,无统计学差异(P>0.05)。组间术前、术后第1、6、12月精液质量各主要参数进行对比,无统计学差异(P>0.05)。术后随访2年配偶临床妊娠A组为1 3例(65%),B组为12例(60%)。结论低位显微外科精索静脉结扎术对精索静脉曲张(VC)伴有男性不育患者是一种经济、简单、有效、便于推广的手术治疗方式。
Objective To evaluate the effects of low-approach microscopic or laparoscopic varicocelectomy in the treatment of varicocele with infertility. Methods All 40 male infertile patients with varicocele were randomly divided into group A （low-approach microscopic varicocelectomy,20 cases） and group B （laparoscopic varicocelectomy,20 cases）. The quality of their semen collected at different time points（pre-operation, lmonth, 6month and 12thmon after operation） were assessed, and the pregnant outcomes of their spouse 2 years postoperation were followed-up. Results Sperm density, the amount of sperm and the proportion of sperm in grade（a＋b） were all significantly increased after operation in two groups compared with that before operation （P〈0.05）. There were no significant differences in the key parameters of sperm after operation in two groups （P〉0.05）. Their spouses in 13 cases （65%） of group A and 12 cases （60%） of group B were found to have clinical pregnant outcomes during follow-up. Conclusion The low-approach microscopic varicocelectomy is a treatment methods with the characteristics of simpleness and easy practice and better outcomes for the infertile patients with varicocele.
出处
《中国男科学杂志》
CAS
CSCD
2009年第5期49-52,共4页
Chinese Journal of Andrology
