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目的比较腹腔镜和开放手术治疗精索静脉曲张的临床效果。方法选取沧县医院2014年12月—2015年12月收治的精索静脉曲张患者90例,随机将患者分为对照组与治疗组,各45例。对照组予以开放手术腹膜后精索静脉高位结扎治疗,治疗组予以腹腔镜精索静脉高位结扎治疗。比较两组患者症状恢复率、精液恢复率、复发情况、手术时间、住院时间及并发症发生情况。结果两组患者症状恢复率及精液恢复率比较,差异无统计学意义(P>0.05)。随访6个月,两组患者均未出现复发。治疗组患者单侧手术时间、双侧手术时间、住院时间短于对照组(P<0.05)。两组患者均未出现严重并发症。结论较开放手术,腹腔镜精索静脉高位结扎术治疗精索静脉曲张的临床效果更加确切,可明显缩短患者治疗时间和住院时间,促进患者恢复。
Objective To compare the clinical effects of laparoscopy and open surgery in the treatment of varicocele. Methods 90 patients with varicocele who were treated in Cang County Hospital from December 2014 to December 2015 were randomly divided into control group and treatment group, with 45 cases in each group. The control group was treated with high ligation of retroperitoneal varicocele, and the treatment group was treated with laparoscopic high varicocele ligation. Symptomatic recovery rate, semen recovery rate, recurrence, operation time, hospital stay and complications were compared between the two groups. Results There was no significant difference in symptom recovery and semen recovery between the two groups (P> 0.05). Follow-up 6 months, no recurrence in both groups. The unilateral operation time, bilateral operation time and hospital stay in the treatment group were shorter than those in the control group (P <0.05). No serious complications occurred in both groups. Conclusion Compared with open surgery and laparoscopic varicocele ligation, the clinical effect of varicocele is more definite, which can shorten the treatment time and hospitalization time and promote the recovery of patients.