CAJ | 학술논문

目的：与传统经腹股沟精索静脉结扎术，分析显微镜下小切口精索静脉高位结扎术对精索静脉曲张患者精液质量和术后妊娠和复发情况的影响。方法将60例精索静脉曲张患者按抽签法随机分成显微镜下高位小切口精索静脉高位结扎术（显微镜）组和传统经腹股沟精索静脉结扎术（传统）组，每组30例，比较两组术后的精液质量、复发率及配偶妊娠率。结果术后3个月，传统组精子浓度比术前明显提高；显微镜组精子浓度及总活力均较术前显著提高；显微镜组精子浓度高于传统组；差异均有统计学意义。术后6个月，两组精子浓度和总活力均较术前显著提高；显微镜组精子浓度显著高于传统组；差异均有统计学意义。术后妊娠率显微镜组高于传统组，复发率低于传统组。结论显微镜下小切口精索静脉高位结扎术效果优于传统经腹股沟精索静脉结扎术，是不育伴有精索静脉曲张患者的首选方法之一。
목적：여전통경복고구정색정맥결찰술，분석현미경하소절구정색정맥고위결찰술대정색정맥곡장환자정액질량화술후임신화복발정황적영향。방법장60례정색정맥곡장환자안추첨법수궤분성현미경하고위소절구정색정맥고위결찰술（현미경）조화전통경복고구정색정맥결찰술（전통）조，매조30례，비교량조술후적정액질량、복발솔급배우임신솔。결과술후3개월，전통조정자농도비술전명현제고；현미경조정자농도급총활력균교술전현저제고；현미경조정자농도고우전통조；차이균유통계학의의。술후6개월，량조정자농도화총활력균교술전현저제고；현미경조정자농도현저고우전통조；차이균유통계학의의。술후임신솔현미경조고우전통조，복발솔저우전통조。결론현미경하소절구정색정맥고위결찰술효과우우전통경복고구정색정맥결찰술，시불육반유정색정맥곡장환자적수선방법지일。
Objective To compare the results of two different ligation techniques,the traditional inguinal ligation of the internal spermatic veins and the high-position-tiny-incision microsurgery varicocelectomy,over semen quality, postoperative pregnancy rate and relapse of varicocele. Methods Postoperative semen quality,relapse rate and the spouses'pregnancy rate in 3 months and 6 months after surgery were compared between two randomly divided experimental groups of male varicocele patients:the high-position-tiny-incision microsurgery varicocelectomy group and the traditional inguinal ligation of the internal spermatic veins group,with 30 patients in each group. Results Three months after surgery,the sperm concentration of the traditional technique group showed a significant increase compared to preoperative parameters.Both sperm concentration and total vitality parameter had a significant increase in the microsurgical group after the operation.Sperm concentration of the microsurgical group was higher than that of the other group.Six month after surgery,sperm concentration and total vitality of both groups showed an increase,and the sperm concentration of the microsurgical group was significantly higher than that of the other group.Compared to the traditional technique group, microsurgery group had a higher postoperative pregnancy rate and a lower relapse rate. Conclusion Compared to the traditional inguinal ligation of the internal spermatic veins,the high-position-tiny-incision microsurgery varicocelectomy offers a better therapeutic effect to varicocele and should be considered a choice of treatment.