Abstract：Objective To explore and analyze the impact comparision of three surgical treatments for varicocele on male sexual function.Methods A total of 140 patients with varicocele admitted to the First People′s Hospital of Jiujiang City from August 2013 to June 2019 were retrospectively selected as the research objects.They were divided into open operation group(37 cases),laparoscopic operation group(70 cases)and microscopic varicocele ligation group(33 cases)according to different surgical methods.The open operation group was treated with open retroperitoneal high ligation of internal spermatic vein,the laparoscopic operation group was treated with laparoscopic high ligation of spermatic vein,and the microscopic operation group was treated with microscopic ligation of spermatic vein.The international index of erectile function 5(IIEF-5)score,the incidence of postoperative complications and the changes of peripheral blood hormone levels were compared.Results The IIEF-5 score of microsurgery group was higher than that of open operation group and laparoscopic operation group,the difference was statistically significant(P<0.05).The total incidence of postoperative adverse reactions of microsurgery group was lower than that of open operation group and laparoscopic operation group,the difference was statistically significant(P<0.05).The peripheral blood hormone prolactin,follicle stimulating hormone and luteinizing hormone of microsurgery group were significantly lower than those of open operation group and laparoscopic operation group,the differences were statistically significant(P<0.05).Conclusion microscopic varicocele ligation for patients with varicocele has significant effect,high safety advantages,it is worthy of application.
万滨； 张卓； 邓新喜. 三种术式治疗精索静脉曲张对男性性功能的影响比较[J]. 中国当代医药, 2021, 28(25): 113-116.
WAN Bin； ZHANG Zhuo； DENG Xin-xi. Impact comparision of three kinds of surgical treatment for varicocele on male sexual function. 中国当代医药, 2021, 28(25): 113-116.
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