显微镜下经腹膜后精索静脉高位结扎与显微镜下经外环口精索静脉结扎的临床效果观察(1)
【摘要】 目的：評价显微镜下经腹膜后精索静脉高位结扎术与显微镜下经外环口精索静脉结扎术治疗精索静脉曲张的临床效果。方法：纳入本院2012年6月-2017年1月收治的132例精索静脉曲张患者，根据手术治疗方式的不同分为观察组(n=89)与对照组(n=43)，观察组患者的手术方式为显微镜下经腹膜后精索静脉高位结扎术，对照组患者的手术方式为显微镜下经外环口精索静脉结扎术，观察两组患者的并发症发生率、术中出血量、复发率、手术时间与精液质量改善状况。结果：观察组患者的手术时间明显短于对照组，差异有统计学意义(P<0.05)。两组患者的术中出血量比较，差异无统计学意义(P>0.05)。术后3个月复查精液，两组的精液质量比较，差异无统计学意义(P>0.05)。术后对两组患者进行为期6个月的随访，观察组患者的曲张复发率明显高于对照组，差异有统计学意义(P<0.05)；两组的并发症发生率比较，差异无统计学意义(P>0.05)。结论：显微镜下经腹膜后精索静脉高位结扎术时间更短，显微镜下经外环口精索静脉结扎术复发率更低，两种方法近远期疗效均较好，安全性高，具备临床推广价值。
【关键词】 精索静脉曲张； 显微镜下经腹膜后精索静脉高位结扎术； 显微镜下经外环口精索静脉结扎术； 临床效果
Analysis the Clinical Efficacy of High Ligation of Retroperitoneal Spermatic Vein under Microscope and Ligation of External Spermatic Vein under Microscope/JIANG Hua-long，LI Ping，YAN Yue-long，et al.//Medical Innovation of China，2017，14(27)：113-115
【Abstract】 Objective：To evaluate the clinical effect of high ligation of retroperitoneal spermatic vein under microscope and ligation of external spermatic vein under microscope in the treatment of varicocele.Method：A total of 132 patients with varicocele were enrolled in our hospital from June 2012 to January 2017，they were divided into observation group (n=89) and control group (n=43) according to the different surgical treatment methods，the operation mode of the observation group was high ligation of retroperitoneal spermatic vein under microscope，the operation of the control group was performed by ligation of the external spermatic vein under the microscope，the complication rate，blood loss，recurrence rate，operation time and semen quality improvement were observed in the two groups.Result：The operation time of the observation group was significantly shorter than that of the control group，the difference was statistically significant(P<0.05).There was no significant difference in intraoperative blood loss between the two groups(P>0.05).The semen was rechecked 3 months after operation，there was no significant difference in semen quality between the two groups(P>0.05).The patients in the two groups were followed up for 6 months after the operation，the recurrence rate of the observation group was higher than that of the control group，the difference was statistically significant(P<0.05)；there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion：Under the microscope by internal spermatic vein ligation in a shorter time，under the microscope through the outer ring ligation of varicocele recurrence rate is lower，short-term and long-term effects of the two methods are good， high safety，has clinical value., 百拇医药(姜华龙 李萍 严跃龙 郑展图)
【关键词】 精索静脉曲张； 显微镜下经腹膜后精索静脉高位结扎术； 显微镜下经外环口精索静脉结扎术； 临床效果
Analysis the Clinical Efficacy of High Ligation of Retroperitoneal Spermatic Vein under Microscope and Ligation of External Spermatic Vein under Microscope/JIANG Hua-long，LI Ping，YAN Yue-long，et al.//Medical Innovation of China，2017，14(27)：113-115
【Abstract】 Objective：To evaluate the clinical effect of high ligation of retroperitoneal spermatic vein under microscope and ligation of external spermatic vein under microscope in the treatment of varicocele.Method：A total of 132 patients with varicocele were enrolled in our hospital from June 2012 to January 2017，they were divided into observation group (n=89) and control group (n=43) according to the different surgical treatment methods，the operation mode of the observation group was high ligation of retroperitoneal spermatic vein under microscope，the operation of the control group was performed by ligation of the external spermatic vein under the microscope，the complication rate，blood loss，recurrence rate，operation time and semen quality improvement were observed in the two groups.Result：The operation time of the observation group was significantly shorter than that of the control group，the difference was statistically significant(P<0.05).There was no significant difference in intraoperative blood loss between the two groups(P>0.05).The semen was rechecked 3 months after operation，there was no significant difference in semen quality between the two groups(P>0.05).The patients in the two groups were followed up for 6 months after the operation，the recurrence rate of the observation group was higher than that of the control group，the difference was statistically significant(P<0.05)；there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion：Under the microscope by internal spermatic vein ligation in a shorter time，under the microscope through the outer ring ligation of varicocele recurrence rate is lower，short-term and long-term effects of the two methods are good， high safety，has clinical value., 百拇医药(姜华龙 李萍 严跃龙 郑展图)