CAJ | 학술논문

【目的】比较显微外科与开放手术治疗精索静脉曲张的临床疗效。【方法】2011年12月至2013年3月本院149例精索静脉曲张的患者，其中显微外科组84例，腹股沟入路的开放手术组65例。比较两组患者的手术时间，术后住院时间，术后精索静脉曲张复发率，睾丸鞘膜积液发生率及术后3个月精液质量的改善情况。【结果】显微外科组手术时间长于开放手术组（P ＜0．05），术后住院时间短于开放手术组（P ＜0．05）；显微外科组的术后精索静脉曲张复发率及术后睾丸鞘膜积液发生率均低于开放手术组（ P ＜0．05），两组术后精子浓度及精子活力均较术前明显改善（ P ＜0．05）。【结论】显微外科治疗精索静脉曲张可改善精子浓度及精子活力，与开放手术相比，具有恢复快，并发症少的优点。
【목적】비교현미외과여개방수술치료정색정맥곡장적림상료효。【방법】2011년12월지2013년3월본원149례정색정맥곡장적환자，기중현미외과조84례，복고구입로적개방수술조65례。비교량조환자적수술시간，술후주원시간，술후정색정맥곡장복발솔，고환초막적액발생솔급술후3개월정액질량적개선정황。【결과】현미외과조수술시간장우개방수술조（P ＜0．05），술후주원시간단우개방수술조（P ＜0．05）；현미외과조적술후정색정맥곡장복발솔급술후고환초막적액발생솔균저우개방수술조（ P ＜0．05），량조술후정자농도급정자활력균교술전명현개선（ P ＜0．05）。【결론】현미외과치료정색정맥곡장가개선정자농도급정자활력，여개방수술상비，구유회복쾌，병발증소적우점。
[Objective]To compare clinical efficacy of microsurgery vs open surgery in the treatment of var-icocele .[Methods] Totally 149 patients with varicocele in our hospital from Dec .2011 to March 2013 were di-vided into microsurgery group( n =84) and open inguinal surgery group( n =65) .The operation time ,post-operative hospital stay ,the recurrence rate of postoperative varicocele ,the incidence of hydrocele and the im-provement of semen quality 3 months after surgery were compared between two groups .[Results]The opera-tion time in microsurgery group was longer than that in open surgery group(P<0 .05) ,while the postoperative hospital stay in microsurgery group was shorter than that in open surgery group ( P <0 .05) .The recurrence of postoperative varicocele and incidence of hydrocele in microsurgery group were lower than those in open sur-gery group( P <0 .05) .Compared with before surgery ,sperm concentration and motility in two groups after surgery were obviously improved( P <0 .05) .[Conclusion]Microsurgery for the treatment of varicocele can improve sperm concentration and mobility .Compared with open surgery ,microsurgery has advantages such as rapid recovery and fewer complications .