三种手术治疗原发性精索静脉曲张的临床疗效观察  

Observation of Clinical Curative Effect of Three Surgical Methods for Treating Primary Varicocele

作　　者：范召应[1] 梁敏[1] 

机构地区：[1]广东佛山市南海区第二人民医院泌尿外科,广东佛山528251

出　　处：《湖南生态科学学报》2015年第2期36-39,共4页Journal of Hunan Ecological Science

摘　　要：探讨3种手术方法治疗原发性精索静脉曲张(Varicocele,VC)的临床效果.回顾性分析2009年1月至2013年7月收治的单侧VC患者135例的临床资料,按照手术方式不同分为3组,腹膜后高位结扎组45例,腹腔镜组52例,显微镜组38例,就手术时间、术后住院时间、术后并发症、复发情况、手术前后精液质量对比等临床资料进行临床疗效观察.显微镜组比腹膜后组、腹腔镜组手术时间明显延长,3组患者术后住院时间无明显差异,并发症发生率在腹膜后组、腹腔镜组、显微外科组分别为33.3%、25.0%和10.5%.6个月后复查精索彩超及精液常规,显微镜组精液质量改善最为明显,并未见有术后复发.显微镜下精索静脉结扎术为治疗VC的安全有效方法,推荐行显微镜下精索静脉结扎术.表2,参6.To investigate the clinical curative effect of three surgical methods for the treatment of primary varicocele ,the authors have retrospectively analyzed 135 cases of Unilateral varicocele, which have been divided into 3 groups, retroperitoneal high ligation group （ n = 45 ）, laparoscopy group （ n = 52 ）, microsurgical subinguinal varicocelectomy group（ n = 38 ）. The operation time, days of postoperative hospital stay, postoperative complications, and recurrence rate and the comparison of the quality between pre-and post-operation have been observed from the perspective of clinical curative effect. And the results are as follows ： the operation time of microsurgical subinguinal varicocelectomy group was longer than that of other groups;the days of postoperative hospital stay were almost the same in the three groups;the rate of postoperative complications was 33.3% ,25.0%, 10.5% in the three groups respectively. The quality of semen was improved significantly in microsurgical subinguinal varicocelectomy group after six months. Therefore ,microsurgical subinguinal varicocelectomy is a safe and effective method for the treatment of varieocele. 2tabs. ,6refs.

关 键 词：原发性精索静脉曲张 腹腔镜 显微镜 

分 类 号：R697[医药卫生—泌尿科学]