| 孙 博,孙家各,侯 备,郭 辉,刘川海,赵国华,叶学荣,刘德忠,张晓毅.显微外科与腹腔镜手术治疗精索静脉曲张疗效比较的回顾性研究[J].,2022,(12):2284-2288 |
| 显微外科与腹腔镜手术治疗精索静脉曲张疗效比较的回顾性研究 |
| A Retrospective Study of Microsurgery and Laparoscopy in the Treatment of Varicocele |
| 投稿时间：2021-11-21 修订日期：2021-12-18 |
| DOI：10.13241/j.cnki.pmb.2022.12.017 |
| 中文关键词: 显微外科 腹腔镜手术 精索静脉曲张 疗效 回顾性研究 |
| 英文关键词: Microsurgery Laparoscopic surgery Varicocele Curative effect Retrospective study |
| 基金项目:北京市自然科学基金项目（71721105） |
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| 中文摘要: |
| 摘要 目的：对比显微外科与腹腔镜手术治疗索静脉曲张（VC）的临床效果。方法：回顾性分析2018年8月~2020年8月期间在我院接受精索静脉结扎术治疗的75例VC患者，其中接受腹腔镜手术的34例纳为A组，接受显微外科手术的41例纳为B组。观察两组手术及住院指标情况，对比两组手术前后精液质量变化，观察两组术后并发症发生率和复发率。结果：两组住院天数、住院费用组间对比差异无统计学意义（P>0.05）。B组手术时间长于A组，排气时间短于A组，组间对比差异有统计学意义（P<0.05）。手术后6个月，两组患者的精液量均增加，精子密度均增大，精子活率、活动精子总数均升高，精液液化时间均下降，且B组的变化程度大于A组（P<0.05）。B组的并发症发生率小于A组（P<0.05）。A组有2例患者随访期间复发，B组未见有患者复发，两组复发率组间对比差异无统计学意义（P>0.05）。结论：与腹腔镜手术治疗VC相比，显微外科手术能更有效地改善精液质量、缩短排气时间、降低并发症发生率，虽然手术时间稍长，仍属于较为可靠的术式。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the clinical effects of microsurgery and laparoscopy in the treatment of varicocele (VC). Methods: 75 patients with VC who underwent spermatic vein ligation in our hospital from August 2018 to August 2020 were analyzed retrospectively. Among them, 34 cases undergoing laparoscopic surgery were included in group A, and 41 cases undergoing microsurgery were included in group B. The operation and hospitalization indexes of the two groups were observed, the changes of semen quality before and after operation were compared between the two groups, and the incidence of postoperative complications and recurrence were observed between the two groups. Results: There were no significant differences in hospitalization days and hospitalization expenses between the two groups (P>0.05). The operation time in group B was longer than that in group A, and the exhaust time was shorter than that in group A, there were significant differences between the two groups (P<0.05). 6 months after operation, the semen volume and sperm density of both groups increased, sperm motility rate and total number of motile sperm increased, and semen liquefaction time decreased, and the change degree of group B was greater than that of group A (P<0.05). The incidence of complications in group B was lower than that in group A (P<0.05). 2 patients in group A recurred during follow-up, and no patients in group B recurred, there was no statistical significance in the recurrence rate between the two groups (P>0.05). Conclusion: Compared with laparoscopic surgery for VC, microsurgery can more effectively improve semen quality, shorten exhaust time and reduce the incidence of complications. Although the operation time is slightly longer, it is still a more reliable operation. |
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