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中文摘要: 目的 比较腹腔镜与显微镜下精索静脉结扎术治疗精索静脉曲张(VC)的临床效果。方法 将76例VC患者随机分为腹腔镜组(行腹腔镜下高位结扎术)与显微镜组(行显微镜下高位结扎术)，各38例，观察两组术前及术后6个月精液质量、体内性激素水平的变化及术后阴囊水肿情况。结果 术后6个月，两组精液质量较术前明显改善(P＜0.01)，但组间比较差异无统计学意义(P＞0.05)。术后6个月，两组性激素各项指标均较术前明显改善(P＜0.01)，但显微镜组改善更为明显(P＜0.05或P＜0.01)。显微镜组术后阴囊水肿率、VC复发率均明显低于腹腔镜组(P＜0.05)，但术后疼痛缓解率比较差异无统计学意义(P＞0.05)。结论 显微镜下精索静脉结扎术具有疗效好、并发症少及术后不易复发等优点，有望替代腹腔镜成为治疗VC的首选方法。
Abstract:OBJECTIVE To compare the clinical efficacy of laparoscopic and microscopic varicocelectomy in the treatment of varicocele (VC). METHODS Totally 76 VC patients were randomly divided into laparoscopic group (n=38) treated with laparoscopic high ligation and microscopic group treated with microscopic high ligation (n=38). The changes of semen quality and sexual hormones before and after 6 months as well as the incidence of postoperative hydrocele were all observed in two groups. RESULTS Six months after surgery, the semen quality was improved significantly in two groups (P＜0.01), but there was no statistical significance between two groups (P＞0.05). Six months after surgery, the level of each sexual hormone was improved markedly in two groups (P＜0.01), but the improved degree in microscopic group was more significant (P＜0.05 or P＜0.01). Both the incidence of postoperative hydrocele and VC recurrence rate in microscopic group were lower than those in laparoscopic group (P＜0.05), but no significant difference was shown between two groups regarding the postoperative pain relief rate (P＞0.05). CONCLUSION When compared with laparoscopic varicocelectomy, microscopic varicocelectomy has advantages of better efficacy, few complications and low recurrence rate, and can be an optimal method for VC.
keywords: laparoscope microscope varicocelectomy varicocele
文章编号：3201712045 中图分类号：R697 文献标志码：
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