三种手术方式治疗精索静脉曲张不育患者临床分析  

Three surgical methods of the infertile varicocele patients

作　　者：孙宝刚[1] 高佃军[2] 李士平[1] 张来霞[2] 

机构地区：[1]潍坊医学院,山东潍坊261042 [2]潍坊医学院附属医院

出　　处：《临床医学》2009年第2期8-10,共3页Clinical Medicine

摘　　要：目的探讨三种手术方式治疗精索静脉曲张不育患者的临床效果。方法回顾分析本院2006年5月至2008年4月治疗的116例精索静脉曲张不育患者的临床资料,其中经腹股沟管精索静脉结扎55例、腹膜后小切口精索静脉结扎38例、腹腔镜精索静脉结扎23例。结果腹股沟管组复发率最高且并发症多;腹腔镜组住院时间短、损伤小、受孕率高;腹膜后组简单安全,疗效可靠。三组均能增加精子密度,提高精子活率,改善活动力,减少精子畸形率。对于不育症治疗,腹股沟组效果差。结论三种手术方式均是治疗精索静脉曲张不育患者的有效方法,各有其优缺点。Objective To investigate the clinical effect of three treatments of varicocele（VC）. Methods From May ,2006 to April, 2008,116 infertile patients with VC in our hospital were treated in three different ways and clinical materials were retrospectively analyzed. Among these cases,55 were treated by ligating internal spermatic vein via inguinal canal,38 with small incision via retropefitonium ,23 with laparoscopy. Results The inguinal canal group presented high recurrence and many complications. Laparoscopy was superior in the level of trauma and postoperative stay in hospital. Retro - peritonium group was safe,convenient and effective. All methods were able to raise the percentage of sperm motility, and to increase sperm count and decrease the rate of teratospermia. But the inguinal canal group had less help for infertility. Conclusion The three surgical methods are effective and safe for the treatment of the infertile varicocele patients, while each of them has its own advantages and disadvantages.

关 键 词：精索静脉曲张 不育 男性 精索静脉高位结扎术 

分 类 号：R699[医药卫生—泌尿科学]