改良Palomo术和经腹股沟途径结扎精索静脉曲张方法的评价

Evaluated Effects of Modified Palomo Precedurc and Transinguinal Incision Operation for Varicoeie Ligation

目的探讨精索静脉曲张结扎在改良Palomo术和经腹股沟手术方法中的疗效。方法将160例精索静脉曲张患者分为两组:A组(改良Palomo术)80例,B组(经腹股沟手术)80例。结果改良Pa lom o术治愈率为1 0 0%,阴囊水肿和附睾炎分别为2.5%(2例)、1.25%(1例),经腹股沟手术治愈率为83.75%(67例),阴囊水肿和附睾炎分别为13.75%(11例)、26.25%(21例)。结论改良Palo-mo术优于经腹股沟结扎法,是一种创伤小,操作简便,疗效高的手术。

Objective To evaluate the effects of modified Palomo precedure and transinguinal incision operation for varicoele ligation. Methods 160 cases with varicoele from 2000 to 2004 were performed operation which were divided into two group： A group （modified Palomo precedure） 80 cases; B group （translnguinal incision operation）80 cases. Results The sana-tive rates were：A group 100%, B group 83.75 %. The rates of edematous scrotum were：A group 2.5% , B group 13 . 75%. and The rates of epididymitis were： A group 1.25% , B group 26.25 %. There wereditltrence between A and B grouPs （P 〈 0.05）. Conclusion Modified Palomoprecedure for varicoele was better than transinguinal incision operation, which is one of less wound, simpler and higher cure rate surgical approaches.