2种高位结扎术治疗精索静脉曲张疗效比较

目的:探讨小切口腹膜后2种高位结扎术治疗精索静脉曲张的临床疗效。方法:24例精索静脉曲张患者随机分均为2组,A组行小切口腹膜后精索内动静脉高位结扎术,B组行小切口腹膜后精索内静脉高位结扎术。比较2组术后并发症及精液改善情况。结果:24例治疗均获得成功,平均手术时间25 min,术后平均住院4 d,随访6～12个月,B组2例复发,2组均无睾丸萎缩及坏死等远期并发症。A、B组患者手术后精子密度、精子活率和精子活力百分比均较术前明显提高(P0.01)。结论:2种术式治疗精索静脉曲张均有明显疗效,住院时间短,疗效好,费用低,适应基层农村合作医疗限价要求,且A组术式更具有创新性,操作简便,便于推广。

Comparison of efficacy of two high ligation in treatment of varicocele

Objective:To explore the clinical effects of treatment varicocele with two kinds of high ligation via retroperitoneum. Methods:Twenty-four patients with varicocele were divided into group A and group B.Patients of group A were treated with the high ligation of spermatic vein and artery via retroperitoneum,patients of group B were treated with the high ligation of spermatic vein via retroperitoneum.The complications and quality of semen of two groups were analysed. Results:The effects of two high ligations were good,and the average operation time and hospital stays were 25 mins and 4 days respectively.Two cases of group B recured,and the orchiatrophy and long-term complications of two groups were not found during following up for 6 to 12 months.Sperm density,motility rate and vigor in both groups were significantly improved after surgery(P<0.01). Conclusions:Two ligation procedures have obvious good effects including short hospital stays and low cost,which can meet the demands of rural medical characteristics.The surgery of group A has innovation,simple and easy to be spreaded.