不同手术方式治疗精索静脉曲张患者的临床分析

Clinical analysis of different surgical methods in the treatment of infertile patients with varicocele

目的探讨不同手术方式治疗精索静脉曲张患者的临床效果。方法回顾分析本院2000-01～2009-10治疗的98例精索静脉曲张患者的临床资料,其中经腹股沟管精索内静脉结扎46例,腹膜后精索静脉结扎34例,腹腔镜精索静脉结扎18例。结果腹股沟管组、腹膜后组和腹腔镜组复发率、并发症和术后生育情况差异无统计学意义,但腹腔镜组在住院时间、精液质量改善方面优于其他两组。结论三种手术方式均是治疗精索静脉曲张患者的有效方法,各有其优缺点。

Objective To investigate the clinical effects of different surgical methods in the treatment of patients with varicocele. Methods The clinical data of 98 patients underwent the treatment of varicocele in our hospital from January 2000 to October 2009 were retrospectively analysed, ligation of spermatic vein via the inguinal canal in 46 patients, ligation of spermatic vein via retroperitoneum in 34 patients, and laparoscopic spermatic vein ligation in 18 patients. Results There were no the differences in the relapse rate,the complications and postoperative fertile in ligation of spermatic vein via the inguinal canal, ligation of spermatic vein via retrospritoneun and laparoscopic spermatic vein ligation, the effects in hospitalizd time and improvement of semen quality in laparoscopic spermatic vein ligation were best than that in ligation of spermatic vein via the inguinal canal and ligation of spermatic vein via retrospritoneun. Conclusion The above three suogecal methods in the treatment of the patients weth varicocele are effective, each has own advantages and disadvantages.