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目的评价经外环低位精索静脉结扎术与腹腔镜高位精索静脉结扎术治疗单侧精索静脉曲张(varicocele,VC)的疗效。方法经外环小切口低位精索静脉结扎术治疗VC42例,腹腔镜高位精索静脉结扎术治疗VC40例。结果两组在手术时间和住院时间上均无明显差异(P>0.05),住院费用有明显差异(P<0.05);术后6个月随访,经外环低位结扎者无1例复发,腹腔镜高位结扎者中5例复发,两组间差异有显著性(P<0.05);精子质量均有明显改善,两组间差异无显著性(P>0.05)。结论两种手术都是治疗VC的有效方法;经外环低位精索静脉结扎术比腹腔镜高位精索静脉结扎术有明显的优点,是一种治疗单侧VC的经济、有效的方法。
Objective To evaluate the efficacy of varicocele (varicocele, varicocele, VC) by ligation of the lower extremity varicocele and laparoscopic varicocele. Methods A total of 40 cases of VC were treated with small incision and low varicocelectomy, and 40 cases of VC were treated by laparoscopic high varicocele ligation. Results There was no significant difference in operation time and hospitalization time between the two groups (P> 0.05), hospitalization costs were significantly different (P <0.05); after 6 months follow-up, There were 5 cases of recurrent laryngoscope recurrence, the difference between the two groups was significant (P <0.05); sperm quality were significantly improved, the difference between the two groups was not significant (P> 0.05). Conclusions Both of the two procedures are effective methods for the treatment of VC. The ligation of the lower extremity varicocele is more effective than the laparoscopic varicocele ligation, which is an economical and effective method for the treatment of unilateral VC.