应用显微镜与腹腔镜手术治疗精索静脉曲张疗效探讨  

Comparison of Therapeutic Effect of Microsurgical and Laparoscopic Methods in the Treatment of Varicocele

作　　者：高江涛[1] 景治安[1] 刘彦军[1] 冯占启[1] 吴辉[1] 

机构地区：[1]郑州市第一人民医院泌尿外科,450004

出　　处：《中国卫生标准管理》2015年第23期53-54,共2页China Health Standard Management

摘　　要：目的比较显微外科和腹腔镜下精索静脉结扎手术治疗原发性精索静脉曲张效果。方法将88例原发性精索静脉曲张患者根据手术方式随机分为2组:腹腔镜下精索静脉高位结扎组(腹腔镜组)43例;显微镜下精索静脉结扎组(显微镜组)45例,术后随访6月,分析手术近期效果及并发症。结果腹腔镜组、显微镜组2组手术时间、精液质量改善率、睾丸鞘膜积液发生率及术后复发率均有差异。结论显微镜下经腹股沟外环口精索静脉结扎术疗效好,并发症少。Objective To compare the therapeutic efect microsurgical varicocelectomy and laparoscopic methods in the treatment of primary varicocele.Methods88 patients were randomly divided into laparoscopic varicocelectomy and microsurgical varicocelectomy according to the operative methods.After 6 months Therapeutic efects and complications of two groups were analyzed.ResultsThere were significant diferences in operating time,the improved quality of semen,the incidences of testicular hydrocele and the recurrence rate of varicocele.ConclusionMicrosurgical varicocelectomy is worthy of clinical application except longer operation time.

关 键 词：精索静脉曲张 腹腔镜手术 显微外科 手术并发症 

分 类 号：R698[医药卫生—泌尿科学]