摘要
目的：应用腹腔镜、显微镜下精索静脉结扎以及两种手术联合疏肝健脾益肾法治疗精索静脉曲张不育患者，并对四种治疗方式的术后并发症进行比较。方法将204例精索静脉曲张不育患者按治疗方式不同分为腹腔镜精索静脉结扎术组（A 组，51例）、显微镜精索静脉结扎术组（B 组，50例）、腹腔镜精索静脉结扎术联合中药组（C 组，52例）、显微镜精索静脉结扎术联合中药组（D 组，51例），比较治疗后1周、1个月、3个月、6个月及12个月的并发症（阴囊坠胀不适、阴囊水肿、睾丸鞘膜积液）发生情况及术后半年以上的复发情况。结果D 组术后并发症发生率明显低于 A 组、B 组及 C 组（P ＜0．05）。随着时间的推移，各组之间差异无统计学意义；D 组的术后复发率（0．00％）明显低于 A 组（11．76％）、B 组（2．00％）及 C 药组（3.85％）（P ＜0．05）。结论显微手术联合中药治疗精索静脉曲张不育患者术后阴囊坠胀不适、阴囊水肿、睾丸鞘膜积液的发生率及术后复发率明显降低。
Objective Compare the postoperative complications of some kinds of surgical approaches and dispersing stagnated liver, strengthening spleen and tonifying kidney to varieocele associated infertility. Methods From 204 varicocele associated infertility hospitalized patients ,which were randomly derided into 4 groups. 51 cases of high ligation of spermatic vein with laparoscope （group A） ;50 cases of ligation of spermatic vein with microscope （group B） ;52 cases of microscope with the traditional Chinese medicine （group C） ;51 cases of microscope with the traditional Chinese medicine （group D ）, compared postoperative complications （unwell in scrotum, scrotal edemas, hydrocele ） after the operations of one week, one month, three months, six months and twelve months in four groups and recurrence of half a year.Results The rate of symptom improvement in D group was significantly better than the other three groups（P 〈0.05）.Over time,there was no statistical difference between four groups.The recurrence rate of D group （0.00%）was obviously lower than A group （11.76%）,the B group （2.00%）and the C group （3.85%）（P 〈0.05）.Conclusion Microscope with the traditional Chinese medicine is a good choice in preventing postoperative the rate of symptom and recurrence.
出处
《中国基层医药》
CAS
2015年第13期1995-1997,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
精索静脉曲张
不育
疏肝健脾益肾
腹腔镜
显微外科
并发症
Varicocele
infertility
dispersing stagnated liver qi strengthening spleen tonifying kidney
micro-surgery
laparoscopy
complications
