精索静脉曲张显微手术及腹腔镜手术疗效对比

目的对比评价显微技术精索静脉结扎术和腹腔镜精索静脉高位结扎术治疗精索静脉曲张引起不育症患者的临床疗效。方法分析65例应用显微技术精索静脉结扎术和64例应用腹腔镜精索静脉高位结扎术的不育症患者。结果两组患者手术均正常完成,未发生术后并发症。显微手术组双侧精索静脉曲张的手术时间长于腹腔镜手术时间,两者差别具有统计学意义(P0.05)。129例患者均得到术后3个月复诊:84例精子活力改善(提高20%以上),其中显微手术组45例(45/65),腹腔镜手术组39例(39/63)(P0.05)。107例患者术后6个月复诊结果:21例精子活力改善(与上次复查结果对比提高20%以上),其中显微手术组17例(17/52),腹腔镜手术组6例(6/55)(P0.05)。术后12个月与6月数据接近。结论显微技术精索静脉结扎术在术后疗效方面优于腹腔镜手术。

Comparative study of effect of microsurgical and laparoscopic varicocelectomy in treatment of varicocele

Objective To evaluate the clinic effect of microsurgical and laparoscopic varicocelectomy in treatment of varicocele. Methods 129 patients with varicocele and infertility are included assign to two group，Group A（n=65）and Group B（n=64）. The patients in Group A received microsurgical varicocelectomy and those in Group B underwent laparoscopic varicocelectomy. The clinical effects were compared between two groups. Results The operation was completed normally in both groups without postoperative complications. The operation time of bilateral varicocelectomy in Group A was longer than that of Group B（P<0.05）. 129 patients were followed up 3 months after operation：Improvement of sperm motility in 84 cases （increase over 20%） including 45 case（45/65） in Group A and 39 case （39/63）in Group B（P>0.05）. 107 cases got 6 months follow-up：Improvement of sperm motility in 21 cases （comparison with the last result is increased by more than 20%） including 17 case（17/52） in Group A and 5（5/55）in Group B（P<0.05）. The data of 12-months follow-up after the operation were close to that of June. Conclusion In this article，microsurgical varicocelectomy approach was superior to laparoscopy varicocelectomy in postoperative curative effect.