CAJ | 학술논문

目的：对比腹腔镜和显微镜手术治疗青壮年精索静脉曲张的疗效及并发症。方法回顾性分析我院近3年18-35岁青壮年行腹腔镜手术及显微镜手术患者，对比术前术后精液质量改善、复发及并发症情况。结果两组患者术后精液质量均有显著改善( P<0.05)，且两组之间无统计学差异（P>0.05）；腹腔镜组出现围手术期并发症10例（15.87%），术后随访出现阴囊水肿4例(6.35%)，鞘膜积液1例(1.59%)，显微镜组未见明显并发症。结论与腹腔镜手术相比，显微镜手术可达到相同的治疗效果，且住院天数及花费基本一致，但有更少的手术并发症，故显微镜手术较腹腔镜手术更有优势。
목적：대비복강경화현미경수술치료청장년정색정맥곡장적료효급병발증。방법회고성분석아원근3년18-35세청장년행복강경수술급현미경수술환자，대비술전술후정액질량개선、복발급병발증정황。결과량조환자술후정액질량균유현저개선( P<0.05)，차량조지간무통계학차이（P>0.05）；복강경조출현위수술기병발증10례（15.87%），술후수방출현음낭수종4례(6.35%)，초막적액1례(1.59%)，현미경조미견명현병발증。결론여복강경수술상비，현미경수술가체도상동적치료효과，차주원천수급화비기본일치，단유경소적수술병발증，고현미경수술교복강경수술경유우세。
Objective To compare the efficacy and complications of laparoscopic surgery(LS) and microscopic surgery(MS) for adults with varicocele. Methods A retrospective analysis of our hospital in the past three years, adults aged 18-35 in patients undergoing LS and MS, compared preoperative and postoperative semen quality improvement, relapse and complications. Results patients with postoperative semen quality improved significantly (P <0.05), and no significant difference between groups(P > 0.05);Laparoscopic group had 10 cases of perioperative complications (15.87%), edema of scrotum 4 cases (6.35%), hydrocele 1 case (1.59%), microscopy showed no obvious complications. Conclusion Compared with laparoscopic surgery, surgical microscope can achieve the same therapeutic effect, and the length of hospital stay and spend basical y the same, but there are fewer surgical complications, the surgical microscope more advantages compared to laparoscopic surgery.