显微镜下精索静脉低位结扎术治疗精索静脉曲张的效果

Efficacy of Microscopic Low Ligation Varicocelectomy for Varicocele

目的探讨显微镜下精索静脉低位结扎术治疗精索静脉曲张的临床价值。方法选取2015年8月至2017年8月收治的54精索静脉曲张患者,按治疗方法的不同分为对照组(n=27)与观察组(n=27)。对照组予传统Palomo术式治疗;观察组显微镜下行精索静脉低位结扎术。比较2组临床治疗情况,并随访4个月至1年记录其复发率。结果观察组和对照组住院时间[(3.29±1.58)d比(5.61±1.67)d]、精子密度[(43.53±5.08)×10~6 mL^(-1)比(37.05±4.25)×10~6 mL^(-1)]、精子活率[(66.08±7.53)%比(54.29±7.19)%]、术后并发症总发生率(7.4%比25.9%)、复发率(0.0%比7.4%)比较差异有统计学意义(P<0.05)。结论显微镜下精索静脉低位结扎术治疗精索静脉曲张能有效缩短患者康复时间,提高精液质量,并发症更少。

Objective To evaluate the clinical value of microscopic low ligation varicocelectomy in the treatment of varicocele.Methods Fifty four patients treated between August 2015 and August 2017 for varicocele were assigned to receive either conventional Palomo procedure（control group, n 27） or microscopic low ligation varicocelectomy（observation group, n=27）.The clinical efficacy was compared between the two groups.The recurrence rate was recorded during 4 months to 1-year follow-up. Results There were significant differences between observation group and control group in hospital stay（（3.29±1.58） days vs（5.61±1.67） days）,sperm density（（43.53± 5.08）×10^6 mL-1 vs（37.05±4.25）×10^6 mL-1）,sperm viability（（66.08±7.53）%0 vs（54.29± 7.19） %）,incidence of postoperative complications（7.4 %vs 25.9%）,and recurrence rate（0.0 % vs 7.4%） （P 〈 0.05）. Conclusion Microscopic low ligation varicocelectomy can shorten recovery time,improve semen quality and reduce postoperative complications in patients with varicocele.