摘要
目的:观察比较两种腹腔镜手术方式治疗精索静脉曲张的临床疗效。方法:将2006年7月～2009年3月就诊的116例精索静脉曲张患者随机均分为两组:A组予以腹腔镜精索血管高位集束结扎术(Palomo术式),B组予以腹腔镜单纯精索内静脉高位结扎术(Ivanissevich术式)。分析两组之间术后近、远期并发症、复发率及术后精液改善情况等指标,比较其临床疗效。结果:两种手术方式术后精液质量均较术前明显提高(P<0.05),但组间比较差异无统计学意义(P>0.05);两组术后精索水肿、睾丸鞘膜积液等近期并发症差异无统计学意义(P>0.05);均未出现睾丸萎缩等远期并发症;但A组复发率低于B组,差异有统计学意义(P<0.05)。结论:两种手术方式治疗精索静脉曲张均有明显临床疗效,但Palomo术式因其术后复发率更少,且具有操作简便、治愈率高等优点,可作为手术治疗精索静脉曲张的首选。
Objective;To analyze and observe the curative effects between two methods of laparoscopic varicocelectomy for the treatment of spermatic varicoclel. Methods.. From July 2006 to March 2009,116 examples were randomly divided into two groups： 58 patients（group A）who underwent laparoscopic closter ligation and 58 patients（group B）who received laparoscopic high ligation of internal spermatic vein, and to analyze the early and longterm complications, the quality of semen and the rate of recurrence. Results：The quality of semen in two group was all increased by comparing spermatozoa density, motility rate and teratospermia before and after operation （P〈 0.05）, but no difference was found between two groups; the early complications were not significant different in the two groups（P〉0.05） ;neither of the two groups had long term complications. The recurrence rate in group A was obviously lower than group B（P〈0.05）. Conclusions;Two methods of laparoscopic varicocelectomy for the treatment of spermatic varicocele is reliable effect, but Palomo＇s technique has the advantages of lower recurrence rate, simple operation and higher cure rate, can be regarded as the first method for treatment of varicocele.
出处
《临床泌尿外科杂志》
北大核心
2010年第9期698-700,共3页
Journal of Clinical Urology
