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腹股沟外环下显微精索静脉结扎术的临床疗效观察 被引量:8

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摘要 目的评价外环下显微精索静脉结扎术的疗效。方法在精索静脉曲张的住院患者中,随机选用3种不同的手术治疗方式,其中观察组126例行外环下显微镜下精索静脉结扎术,对照1组120例行经腹股沟精索静脉高位结扎术,对照2组100例行经腹膜后精索静脉高位结扎术。比较3组术后7d内彩色多普勒检查精索静脉是否存在血液返流、术后3个月睾丸水肿情况、术后3个月到1年内随访患者夫妻的自然妊娠情况及术后1年复发情况这些指标。结果比较术后7d内彩色多普勒检查精索静脉血液返流率、术后3个月睾丸水肿率、术后3个月到1年内患者夫妻的自然妊娠率、术后1年复发率,观察组分别为0.73%、0.72%、44.75%、2.07%,对照1组分别为13.66%、7.47%、30.06%、15.65%,与对照组比较有显著性差异(P<0.05),对照2组分别为12.16%、7.58%、34.21%、12.51%,与对照组比较也有显著性差异(P<0.05)。结论外环下显微精索静脉结扎术能减少复发率及术后并发症,提高精索静脉曲张引起的男性不育的妊娠率,值得临床广泛推广。
出处 《江西医药》 CAS 2014年第1期33-36,共4页 Jiangxi Medical Journal
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