显微镜下和腹腔镜下精索静脉结扎术的疗效比较

Comparison of the outcomes of microscopic varicocelectomy and laparoscopic varicocelectomy

目的:比较分析显微镜下精索静脉结扎术及腹腔镜下精索静脉结扎术对患者精液质量的改善情况。方法:回顾性分析了291例精索静脉曲张患者术前和术后随访资料,其中显微镜下精索静脉结扎术176例,腹腔镜下精索静脉结扎术115例,比较接受这两种术式的患者的术后精液质量改善情况及配偶受孕率。结果:显微镜组患者较腹腔镜组术后精子密度改善率更高(87.6%vs.73.7%,P=0.006),显微镜组的术后配偶怀孕率显著高于腹腔镜组(为45.4%vs.30.3%,P=0.017)。结论:显微镜下精索静脉结扎术的效果优于腹腔镜下精索静脉结扎术。

Objective： To compare and analyze semen quality improvement between the patients with microscopic varicocelectomy and laparoscopic varicocelectomy. Methods： A total of 291 patients with varicocele were included in this study, of whom 176 underwent microscopic varicocelectomy and 115 laparoscopic varicocelectomy. The improvement rates of semen quality and pregnancy rates between the two groups were compared. Results： The improvement rate of sperm density in microscopic group was sig- nificantly higher than that of laparoscopic group （87.6% vs. 73.7% , P = 0. 006）. Spouse pregnancy rate of microscopic group was significantly higher than that of laparoscopic group （45.4% vs. 30.3% , P =0.017）. Conclusion： The effect of microscopic varicocelectomy was superior to that of laparoscopic varicocelectomv.