显微镜外环下精索静脉结扎术治疗精索静脉曲张疗效观察  

Clinical efficacy of microsurgical subinguinal varicocelectomy for varicocele patients

作　　者：南玉奎[1] 贾宏亮[1] 张志强[1] 姚礼忠 王岩岗[1] 齐飞波[1] 李鸣[1] 

机构地区：[1]新疆维吾尔自治区人民医院泌尿中心,乌鲁木齐830001

出　　处：《新疆医学》2017年第7期698-700,共3页Xinjiang Medical Journal

摘　　要：目的比较显微镜外环下精索静脉结扎术与腹膜后精索静脉高位结扎术的治疗效果。方法 2015年1月-2016年8月,新疆维吾尔自治区人民医院收治的精索静脉曲张患者124例,随机分为观察组和对照组;观察组采用显微辅助外环下精索静脉结扎术,对照组采用腹膜后精索静脉高位结扎术。随访记录两组患者术后症状改善,术后并发症及手术前后精液质量(精子密度、精子活力、精子畸形率)。结果观察组术后3~4周,症状减轻44例(44/71 60.6%);对照组减轻31例(31/5358.5%),差异无统计学意义。观察组并发症总计6例(8.45%),对照组11例(20.75%),差异具有统计学意义(P<0.05)。观察组治疗后精子数量、精子活力和精子活动率分别为(33.76±7.22)×1006/m L、(38.66±5.93)%和(45.28±7.50)%,均高于对照组治疗后,两组治疗后均高于治疗前,差异具有统计学意义(P<0.05)。观察组患者治疗后精子畸形率为(12.42±3.86)%,低于对照组治疗后(16.21±5.08)%,两组治疗后均低于治疗前,差异具有统计学意义(P<0.05)。结论显微镜外环下精索静脉结扎术后症状缓解、减少并发症以及精液质量改善,其治疗效果优于腹膜后精索静脉高位结扎术。Objective To evaluate the efficacy between microsurgical subinguinal varicoceleetomy and high ligation of relroperitoneal spermatic vein in the patients with varieocele. Methods 124 patients with varicocele hospitalized in People＇s Hospital of Xinjiang Uygur Autonomous Region from January 2015 to August 2016 were randomly divided into observation group and control group. The patients in the observation group underwent microsurgical varicoeelectomy, and those in conrtrol group were given high ligation of retroperitoneal spermatic vein. The post-operative data were compared between two type of surgical method, including symptom improvement, postoperative complications and improvement of semen parameters（Sperm density, sperm motility, sperm deformity rate）. Results At 3 or 4 weeks after operation, 44 cases in observation group（44/71 60.6% ） had pain relief, while 31 eases in control group（31/53 58.5% ） had pain relief, and there was no statistical significant difference between two groups. 6 cases in observation group （8.45%）had surgical complications; 11 eases in control group （20.75 % ）had surgical complications, and there was a statistically significant difference（P〈0. 05）. The post-operative sperm quantity, sperm motility and sperm motility rate in observation group were （33.76 ± 7.22）×100^6/mL. （38.66 ＋ 5.93 ）% and （45.28±7.50 ）% respectively, which were better than those in control group. The post-operative sperm quantity, sperm motility, sperm motility rate in both groups were better than those in pre-operation, and there was a statistically significant difference between two groups （P〈0.05）. The post-operative sperm deformity rate in oservation group was （ 12.42 _＋ 3.86）%, which was lower than that in control group（ 16.21 _＋ 5.08 ）%. The sperm deformity rate of both groups were lower than that at pre-operation, and there was a statistically significant difference （P〈0.05）. Conclusion The effect of microsurgical subinguinal varicoeelectomy i

关 键 词：精索静脉曲张 显微外科 并发症 外环下 

分 类 号：R697[医药卫生—泌尿科学]