改良Palomo术治疗精索静脉曲张的疗效分析

目的：探讨精索静脉曲张（Vc）患者行改良Palomo术的疗效，分享手术经验。方法：2009年7月～2012年1月采用改良Palomo术治疗伴有精液质量下降的VC患者182例，观察手术治疗后精液参数的变化及配偶自然受孕情况。结果：182例手术均获得成功。手术前后精液质量经统计学分析，差异有统计学意义（PdO．01），术后精液质量明显改善；不育患者配偶自然受孕率为54．55％（84／154），均未出现阴囊水肿及睾丸萎缩，均未复发。结论：改良Palomo术对伴有精液质量下降的VC患者效果良好，且对不育也有很好的疗效。

Efficacy of modified Palomo procedure varicocele ligation in the treatment of varicocele

Objective： To evaluate the efficacy of modified Palomo procedure varicocele ligation for varicocele patients and introduce some experience of operation. Methods： From July 2009 to January 2012, 182 patients with semen quality decline accepted the operation. Moreover they were observed the semen parameters change and the conceive naturally situation of spouse after treatment. Results： One hundred and eighty-two patients received modi- fied Palomo procedure varicocele ligation successfully. The semen quality improved and the rate of natural concep- tion was 54. 550//00 （84/154）. The difference reached statistical significance（P~0.01）. None of the patients had ap- peared hydroeele or orchiatrophy, and no patient had relapsed. Conclusion： Modified Pa[omo procedure varicocele ligation for patients with varicocele could improve the semen quality, and also have very good curative effect on sterility.