显微镜下经腹股沟管下精索静脉结扎术42例疗效分析  

Analysis on curative effect of microsurgical varicocelectomy through inguinal approach under microcope:report of 42 cases

作　　者：吴元翼[1] 杨勇[1] 符伟军[1] 郁华亮[1] 郭加翔[1] 

机构地区：[1]解放军总医院第一附属医院泌尿外科,北京100048

出　　处：《感染．炎症．修复》2013年第2期88-90,共3页Infection Inflammation Repair

基　　金：军队临床高新技术重点项目(413DG63J)

摘　　要：目的：观察显微镜下经腹股沟管下精索静脉结扎术（MSV）治疗精索静脉曲张（VC）的效果。方法：回顾分析我院2011年6月～2012年3月收治42例VC患者的临床资料，于硬膜外麻醉下行MSV，术后6个月观察精液参数改善及相关并发症的发生情况。结果：本组中左侧精索静脉曲张患者38例≯双侧精索静脓曲张患者4例。术后6个月复查，患者精索内静脉内径由术前（0．38±0．05）cm下降至（0．29±0．05）cm（P=0．000），精子计数由术前（28．37±1．84）×10^6／ml升至（32．48±1．73）×10^6／ml（P=0．000），精子活力较术前提高明显，由术前（25．61±2．00）％上升至（39．02±4．87）％（P=0．000）；复发1例，并发鞘膜积液1例；随访6个月，患者阴囊不适及疼痛症状均较术前缓解。结论：对部队中常见的疾病VC，MSV是一种安全、可靠、有效的手术方式。Objective：To observe the effect of microsurgical varicocelectomy （MSV） through inguinal approach in treating varicocele. Methods：Forty-two patients with varicocele admitted to the First Hospital Affiliated to the Chinese PLA General Hospital from June 2011 to March 2012 received MSV under epidural anesthesia. Complications were observed and semen parameters were detected 6 months after the operation. Results.. Among 42 patients, 38 servicemen were suffering from varicocele on the left side, and 4 patients with varicocele on both sides. Reexamination after 6 months of the operation revealed that spermatic vein diameter was decreased from （0.38± 0.05）cm to （0.29 ± 0.05） cm （P = 0. 000）, and sperm count was increased from （28.37 ±1.84）×10^6/ml to （32.48± 1.73）×10^6/ml（P = 0. 000）, and sperm activity was significantly increased from （25.61 ± 2.00）% to （39. 02±4. 87）%（P=0. 000）. There was 1 case of recurrence, and 1 case of concurrent hydrocele. In the follow-up visits after 6 months, pain in scrotum was obviously improved after the operation. Conclusions： Microsurgical varicocelectomy is a safe, reliable and effective surgical method to treat varicocele, which is a common disease in army.

关 键 词：精索静脉曲张 显微镜 军人 

分 类 号：R443.8[医药卫生—诊断学]