摘要
目的探讨原发性精索静脉曲张不育患者作腹腔镜精索血管集束状结扎术与改良Palomo术的治疗效果。方法选择原发性精索静脉曲张不育患者80例,均有不同程度的生精功能障碍。病例随机分为两组,第一组42例,行腹腔镜下精索血管集束结扎术;第二组38例,行开放式腹膜后精索静脉高位结扎术。两组术前及术后3个月检查精液分析。将42例与38例开放式腹膜后精索静脉高位结扎术的临床资料进行对比研究。结果两组病例手术时间与术中出血量有明显差异(P<0.05);术后经12个月随访,两组间术后复发率有明显差异(P<0.05)。两组精液质量较术前均有改善,而两组间精液精子数量、活动力、畸形率比较无显著性差异(P>O.05)。结论腹腔镜精索血管集束状结扎术与开放式腹膜后精索静脉高位结扎术均可提高精液质量,但前者具有手术时间短、术中出血少、安全且治愈率高的优点。
Objective To assess the advantages of laparoscopic cluster high ligation of internal spermatic veins and traditional open operation in the treatment of varicocele. Methods 42 patients who underwent laparoscopic cluster high ligation and 38 patients who received traditional open operation were retrospectively analyzed. Results Significant differences were found on the duration of operative time,blood loss, and recurrence rate between two groups.The quality of semen in the patients showed obvious improvement. Goneluaions Laparoscopic cluster ligation of internal spermatic vein has the advantages of shorter operative time,less blood loss, higher security and healing rate when compared to traditional open operation of internal spermatic vein for the treatment of varicocele.
出处
《中华腔镜泌尿外科杂志（电子版）》
2009年第4期52-54,共3页
Chinese Journal of Endourology(Electronic Edition)
