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目的:对比研究腹腔镜和开放手术精索静脉高位结扎术治疗精索静脉曲张的疗效。方法:回顾分析121例腹腔镜和152例开放手术精索静脉高位结扎术的临床资料,比较两种方法在手术时间、术后住院天数及综合治疗费用及术后止痛药应用等的差异。结果:两组在手术时间、术后住院天数及止痛药应用等方面差异均有高度显著性(P<0.01),腹腔镜组均优于开放手术组;综合治疗费用两组差异无显著性(P>0.05)。结论:腹腔镜治疗精索静脉曲张较开放手术具有创伤小、康复快,术后住院时间短及美容效果好等优点。
OBJECTIVE: To compare the efficacy of laparoscopic and open surgery varicocele ligation in the treatment of varicocele. Methods: A retrospective analysis of 121 cases of laparoscopic and 152 cases of open surgery varicocele ligation clinical data to compare the two methods in the operation time, postoperative hospital stay and the cost of comprehensive treatment and postoperative pain medication application differences. Results: There was a significant difference between the two groups in the operation time, postoperative hospital stay and the application of analgesics (P <0.01). The laparoscopic group was superior to the open surgery group. There was no significant difference between the two groups P> 0.05). Conclusion: Laparoscopic treatment of varicocele has less trauma, faster recovery, shorter postoperative hospital stay and better cosmetic results than open surgery.