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目的探讨介入栓塞治疗精索静脉曲张的疗效。方法回顾性分析93例精索静脉曲张患者的治疗方法,其中介入栓塞组51例,腹腔镜组42例,对比研究两组的手术时间、出血量、术后平均住院时间;随访观察精液质量改善及有无复发等情况。结果两组手术时间、出血量、术后平均住院时间比较差异无统计学意义(P>0.05),介入栓塞组精液质量改善及复发例数情况优于腹腔镜组,差异有统计学意义(P<0.01)。结论介入栓塞治疗精索静脉曲张是一种安全有效的方法,患者创伤小、复发率低,为治疗精索静脉曲张提供了一种可选择的方法。
Objective To investigate the efficacy of interventional embolization in the treatment of varicocele. Methods The clinical data of 93 patients with varicocele were retrospectively analyzed. Among them, 51 cases were involved in embolization group and 42 cases in laparoscopic group. The operation time, blood loss and average postoperative hospital stay were compared between the two groups. The quality of semen was followed up And whether the recurrence and so on. Results There was no significant difference in operative time, blood loss and average postoperative hospital stay between the two groups (P> 0.05). The improvement of semen quality and the number of recurrence in the embolization group were better than those in laparoscopy group (P <0.01). Conclusions Interventional embolization is a safe and effective method for the treatment of varicocele. The patients with small trauma and low recurrence rate provide an alternative method for the treatment of varicocele.