显微镜下精索内静脉高位结扎与传统Palomo术式治疗精索静脉曲张对比研究  

Study on high-approach microsurgical varicocelectomy and traditional Palomo operation in the treatment of varicocele

作　　者：刘骋[1] 程冬[1] 张贤生[1] 马克 马成民[1] 陈红兵[1] 张超[1] 王旭昌[1] 

机构地区：[1]安徽省合肥市第一人民医院泌尿外科,合肥230061

出　　处：《中国男科学杂志》2011年第10期55-57,共3页Chinese Journal of Andrology

摘　　要：目的对比分析显微镜下精索内静脉高位结扎与传统Palomo术式治疗精索静脉曲张的手术并发症发生率及精子质量改善情况。方法研究对象为我院收治的98例精索静脉曲张患者，其中58例接受了传统的Palomo术式，40例接受了显微镜下精索静脉结扎术，对两组手术时间、并发症发生率以及术前、术后精液分析结果进行对比分析。结果显微镜组的手术时间长于传统Palomo组（P〈0．05），显微镜组术后的阴囊水肿和附睾炎发生率均显著低于Palomo组（P〈0．05），两组术后复发率差异无统计学意义，两组术后精子质量均有显著改善，但显微镜组术后精子计数、密度和活率均明显高于传统Palomo组（P〈0．05）。结论显微镜下精索内静脉高位结扎术治疗精索静脉曲张并发症少，精子质量改善程度优于传统Palomo术式。Objective To evaluate the effects of high-approach microsurgical varicocelectomy and traditional Palomo operation in the treatment ofvaricocele. Methods Ninety-eight inpatients with varicocele were divided into group A（40 patients underwent high-approach microsurgical varieocelectomy） and group B （58 patients underwent traditional Palomo operation）. The operation time, complications and semen quality of pre-operation and post-opera- tion between groups were analyzed contrastively. Results The operation time of group A was longer than that of group B（P〈0.05）, but the incidence of scrotum and epididymitis in group A was lower than that in group B （P〈0.05） No significant difference in recurrence was found between two groups （P〉0.05）. Three month after operation, the sperm amount, sperm density and sperm motility of two group were enhanced compared with those before operation （P〈0.05）, and the semen quality of group A was better than that of group B （P〈0.05）, but every semen parameter of group A is be better than group B（P〈0.05）. Conclusion High-approach microsurgical varicocelectomy showed great advantage over traditional Palomo operation in lower complication and high semen quality.

关 键 词：精索静脉曲张 显微外科手术 

分 类 号：R697.4[医药卫生—泌尿科学]