显微术式与腹膜后精索静脉高位结扎术式治疗精索静脉曲张的效果对比

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摘要目的比较显微术式与腹膜后精索静脉高位结扎术式治疗精索静脉曲张的效果。方法选取2014年1月～2016年1月在我院行手术的86例精索静脉曲张患者，按照随机数字表法分为实验组和对照组，各43例。对照组采用腹膜后精索静脉高位结扎术，实验组采用显微技术腹股沟途径精索静脉结扎术，术后随访6个月。比较两组的手术时间、住院时间、症状改善情况、并发症发生率和精液质量。结果两组的手术时间比较，差异无统计学意义（P＞0.05）。实验组的住院时间显著低于对照组，差异有统计学意义（P＜0.05）。实验组的症状改善情况显著优于对照组，并发症发生率低于对照组，精液质量显著优于对照组，差异有统计学意义（P＜0.05）。结论显微术式治疗精索静脉曲张的住院时间短，并发症少，能够有效改善症状，并可以显著提高精液质量，值得推广。

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	黄多
	斌冼杰
	王君勇
	谢宗兵

关键词 ：精索静脉曲张, 显微外科, 精索静脉高位结扎术, 精液质量

Abstract：Objective To compare the effect of microscopy and retroperitoneal high ligation of spermatic vein type in treating varicocele.Methods 86 varicocele patients who needed oparation in our hospital from January 2014 to January 2016 were selected and divided into the experimental group and the control group by using random number table method,43 cases in each group.The control group was used retroperitoneal high ligation of spermatic vein and the experimental group was used microsurgical technique inguinal vein ligation of spermatic vein.All patients were followed up for 6 months.The operation time,hospitalization time,symptom improvement,the incidence rate of complication and semen quality were compared.Results There was no significant difference in the operation time between the two groups (P＞0.05).The hospitalization time of the experimental group was significantly lower than that of the control group,and the difference was statistically significant(P＜0.05).The improvement of symptoms in the experimental group was significantly better than that in the control group,the incidence rate of complications in the experimental group was lower than that in the control group,and the semen quality in the experimental group was significantly better than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion Microsurgical technique in treating varicocele can shorten hospitalization time,with less complications,which can effectively improve symptoms,obviously improve semen quality,it is worth to popularize.

Key words： Varicocele Microsurgery High ligation of spermatic vein Semen quality

引用本文:

黄多;斌冼杰;王君勇;谢宗兵. 显微术式与腹膜后精索静脉高位结扎术式治疗精索静脉曲张的效果对比[J]. 中国当代医药, 2017, 24(7): 85-87.
HUANG Duo-bin;XIAN Jie;WANG Jun-yong;XIE Zong-bing. Effect comparsi on of microscopy and retroperitoneal high ligation of spermatic vein type in treating varicocele. 中国当代医药, 2017, 24(7): 85-87.

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