| 卫寿元,杨强,郑培,等.显微外科手术与腹腔镜手术治疗精索静脉曲张的疗效比较[J].安徽医药,2019,23(8):1593-1595. |
| 显微外科手术与腹腔镜手术治疗精索静脉曲张的疗效比较 |
| Comparison of the effects of microsurgery and laparoscopic surgery for varicocele |
| 投稿时间：2018-10-03 |
| DOI： |
| 中文关键词: 精索静脉曲张 显微外科手术 腹腔镜检查 治疗结果 精子计数 |
| 英文关键词: Varicocele Microsurgery Laparoscope Treatment outcome Sperm count |
| 基金项目: |
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| 中文摘要: |
| 目的 比较分析显微外科手术与腹腔镜手术治疗精索静脉曲张(VC)的效果。方法 回顾性分析2015年1月到2018年2月六安市第二人民医院行显微外科手术与腹腔镜手术精索静脉结扎术治疗的VC病人61例,其中显微镜组21例,腹腔镜组40例。分析病人在术后精液改善情况、手术时间、术后排气时间、住院时间、住院费用、术后并发症和复发情况之间的差异。结果 显微外科手术在精子密度[(25.990±1.744)×106/mL比(21.338±4.230)×106/mL]、前向运动精子比例[(37.919±5.665)%比(33.868±6.011)%]和降低的畸形率[(28.532±5.131) %比(22.372±4.286) %]改善幅度要高于腹腔镜手术(P＜0.05),手术时间[(142.857±41.339)h比(48.725±24.930)h]长于腹腔镜手术(P＜0.001),但术后排气时间[(23.952±9.897)h比(39.325±21.850)h]明显较短且并发症[(4.76%)比(32.50%)]发生率明显降低(P＜0.05),而两组病人在住院时间、住院费用和复发情况方面相似(P＞0.05)。结论 显微外科手术对病人的精液质量改善情况及术后恢复方面要优于腹腔镜手术。 |
| 英文摘要: |
| Objective To compare the effects of microsurgery and laparoscopic surgery on varicocele (VC).Methods A retrospective analysis was conducted on 61 cases of VC patients treated with microsurgery and laparoscopic spermatic vein ligation in Lu'an Second People's Hospital from January 2015 to February 2018,including 21 cases in microscope group and 40 cases in laparoscope group.Differences in postoperative semen improvement,duration of surgery,postoperative exhaust time,length of stay,hospitalization costs,postoperative complications and recurrence were analyzed.Results Compared with laparoscopic surgery,microscopic surgery showed better improvement of sperm density[(25.990±1.744)×106/mL vs. (21.338±4.230)×106 /mL],progressive motility sperm percentage[(37.919±5.665)% vs. (33.868±6.011)%] and reduced deformity rate[(28.532±5.131) % vs.(22.372±4.286) %] (P＜0.05),longer operating time[(142.857±41.339)h vs.(48.725±24.930)h] (P＜0.001),but significantly lower postoperative exhaust time[(23.952±9.897)h vs.(39.325±21.850)h] and incidence of complications[(4.76%) vs.(32.50%)] (P＜0.05).The two groups were simila in length of hospital stay,hospital expenses,postoperative complications and recurrence (P＞0.05).Conclusion Microsurgical operation was superior to laparoscopic operation in improving semen quality and postoperative recovery. |
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