显微镜精索静脉结扎术与腹腔镜精索静脉高位结扎术治疗原发性精索静脉曲张的效果对比

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Abstract Objective To compare the effect of microscopic varicocele ligation and laparoscopic varicocele high ligation in the treatment of primary varicocele. Methods The clinical data of 90 patients with primary varicocele admitted to the Department of Urology of Fujian Provincial Hospital and Fujian Provincial Jinshan Hospital from January 2015 to June 2018 were retrospectively analyzed. According to the operation method, they were divided into the microscope group (48 cases) and the laparoscopic group (42 cases). The microscope group was treated with microscopic varicocele ligation, the laparoscopic group was treated with laparoscopic varicocele high ligation. The operation time, blood loss,testicular artery recognition rate, hospitalization time, postoperative complications and varicose recurrence were compared between the two groups. Results The operation time of the microscope group was longer than that of the laparoscopic group, the difference was statistically significant (P＜0.001). The recognition rate of testicular artery in the microscope group was higher than that in the laparoscopic group, the difference was statistically significant (P=0.007). The intraoperative blood loss of the microscope group was less than that of the laparoscopic group, the difference was statistically significant (P＜0.001). There was no significant difference in the hospitalization time between the two groups (P=0.609). The scrotal edema, testicular atrophy in 2 years after operation and recurrence rate in 2 years after operation in the microscope group were lower than those in the laparoscopic group, the differences were statistically significant (P＜0.05). Conclusion The curative effect of microscopic varicocele ligation is better than that of laparoscopic varicocele high ligation.

Key words： Microscope Laparoscope Varicocele Contrast of curative effect

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	Articles by authors
	JIANG Qi-qi
	YE Lie-fu
	WU Jin-feng
	LIU Zhi-hua
	CHEN Song-mao

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JIANG Qi-qi,YE Lie-fu,WU Jin-feng, et al. Effect comparison of microscopic varicocele ligation and laparoscopic varicocele high ligation in the treatment of primary varicocele[J]. 中国当代医药, 2020, 27(28): 92-94转98.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I28/92

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