摘要
目的:探讨小切口腹膜后2种高位结扎术治疗精索静脉曲张的临床疗效。方法:24例精索静脉曲张患者随机分均为2组,A组行小切口腹膜后精索内动静脉高位结扎术,B组行小切口腹膜后精索内静脉高位结扎术。比较2组术后并发症及精液改善情况。结果:24例治疗均获得成功,平均手术时间25 min,术后平均住院4 d,随访6～12个月,B组2例复发,2组均无睾丸萎缩及坏死等远期并发症。A、B组患者手术后精子密度、精子活率和精子活力百分比均较术前明显提高(P<0.01)。结论:2种术式治疗精索静脉曲张均有明显疗效,住院时间短,疗效好,费用低,适应基层农村合作医疗限价要求,且A组术式更具有创新性,操作简便,便于推广。
Objective：To explore the clinical effects of treatment varicocele with two kinds of high ligation via retroperitoneum. Methods：Twenty-four patients with varicocele were divided into group A and group B.Patients of group A were treated with the high ligation of spermatic vein and artery via retroperitoneum,patients of group B were treated with the high ligation of spermatic vein via retroperitoneum.The complications and quality of semen of two groups were analysed. Results：The effects of two high ligations were good,and the average operation time and hospital stays were 25 mins and 4 days respectively.Two cases of group B recured,and the orchiatrophy and long-term complications of two groups were not found during following up for 6 to 12 months.Sperm density,motility rate and vigor in both groups were significantly improved after surgery（P〈0.01）. Conclusions：Two ligation procedures have obvious good effects including short hospital stays and low cost,which can meet the demands of rural medical characteristics.The surgery of group A has innovation,simple and easy to be spreaded.
出处
《蚌埠医学院学报》
CAS
2012年第9期1080-1081,共2页
Journal of Bengbu Medical College
