摘要
目的:比较显微外科与腹腔镜途径精索静脉结扎术治疗精索静脉曲张的疗效及并发症。方法:将72例精索静脉曲张患者随机分为显微外科精索静脉结扎术组(36例)和腹腔镜精索静脉结扎术组(36例),比较术前、术后3个月的精液质量、术后并发症,以及术后配偶妊娠率。结果:显微外科组手术时间明显长于腹腔镜组(P<0.05);术后住院天数显微外科组为(2.2±0.7)d,腹腔镜组为(2.8±0.8)d,两组无明显差别;两组术后精子浓度、存活率和(a+b)级精子百分率均较术前明显提高(P均<0.05),但两组间无统计学差异。配偶妊娠率显微外科组为65.2%,腹腔镜组57.1%。术后阴囊水肿发生率显微外科组为0,腹腔镜组为16%;复发率两组无明显差异(P>0.05)。结论:与腹腔镜精索静脉结扎术比,显微外科精索静脉结扎术创伤更小、恢复更快、麻醉经济、术后并发症少、复发率低,是更值得推广的安全有效的术式。
Objective： To compare the effects and postoperative complications of microscopic varicocelectomy（MV） and laparoscopic varicocelectomy（LV） in the treatment of varicocele.Methods： We assigned 72 varicocele patients to two groups of equal number to be treated by MV and LV.We compared the two groups in the semen parameters before and 3 months after surgery,postoperative complications,and pregnancy rates of the patients＇ wives.Results： The operative time was significantly longer in the MV than in the LV group（P0.05）.The postoperative hospital stay showed no significant difference between the MV and LV groups（[2.2±2.7] d vs [2.8±0.8] d）.Sperm concentration,sperm motility and the percentage of grade a＋b sperm were significantly increased in both groups after surgery（P0.05）,but with no significant differences between the two.The pregnancy rate was 65.2% in the former and 57.1% in the latter.Postoperative hydrocele occurred in 5 cases in the LV,but none in the MV group.There were no statistically significant differences in recurrence between the two groups（P0.05）.Conclusion： MV is superior to LV for its minimal invasiveness,economical anesthesia,faster recovery and lower rates of postoperative complications and recurrence.
出处
《中华男科学杂志》
CAS
CSCD
2012年第4期335-338,共4页
National Journal of Andrology
关键词
精索静脉曲张
显微外科
腹腔镜
疗效
并发症
varicocele
microsurgery
laparoscopy
therapeutic effect
complication
