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目的分析显微外科与腹腔镜手术治疗精索静脉曲张(VC)的临床效果。方法回顾性分析钦州市第二人民医院2013年1月至2014年12月收治的102例VC患者的临床资料,根据不同治疗方案分为两组,每组51例;对照组予以腹腔镜治疗,研究组予以显微外科治疗,比较两组手术效果、治疗前后精液相关参数变化及并发症情况。结果研究组手术时间长于对照组(P<0.05);研究组术后精子数量与精子活力率改善幅度大于对照组,且并发症总发生率低于对照组(P<0.05)。结论虽然显微外科曲张静脉精索结扎术手术时间较长,但其创伤更小、恢复更快,且并发症发生率低,值得推临床推广应用。
Objective To analyze the clinical effects of microsurgery and laparoscopic surgery on varicocele (VC). Methods The clinical data of 102 patients with VC who were treated in the Second People’s Hospital of Qinzhou from January 2013 to December 2014 were retrospectively analyzed. According to the different treatment plans, the patients were divided into two groups (n = 51 in each group). The control group was treated by laparoscopy, The study group was treated by microsurgery, and the effects of surgery, the changes of semen parameters and the complications before and after treatment were compared. Results The operation time of the study group was longer than that of the control group (P <0.05). The sperm count and sperm motility of the study group were significantly improved after operation compared with the control group (P <0.05). Conclusion Although microsurgical varicocele ligation surgery for a long time, but less trauma, faster recovery, and the incidence of complications is low, it is worth pushing clinical application.