CAJ | 학술논문

目的：探究显微镜与经腹膜后精索静脉高位结扎术对于精液质量的影响。方法：89例左侧精索静脉曲张患者，分别接受经腹膜后高位结扎术（开放组）和显微镜下精索静脉结扎术（显微镜组）治疗，随访时间为3个月。观察两组术前术后精液浓度、前向运动及血清抑制素B水平等指标。结果：患者平均年龄为(28±6)岁；平均病程为(14.3±16.7)月。两组术后精子浓度与前向运动均无统计学差异（P=0.839，0.169），显微镜组血清抑制素B水平显著高于开放手术组（P=0.021）。结论：两种术式均能有效改善精液质量；对于血清抑制素B水平的改善，显微镜下精索静脉结扎术优于经腹膜后高位结扎术。
목적：탐구현미경여경복막후정색정맥고위결찰술대우정액질량적영향。방법：89례좌측정색정맥곡장환자，분별접수경복막후고위결찰술（개방조）화현미경하정색정맥결찰술（현미경조）치료，수방시간위3개월。관찰량조술전술후정액농도、전향운동급혈청억제소B수평등지표。결과：환자평균년령위(28±6)세；평균병정위(14.3±16.7)월。량조술후정자농도여전향운동균무통계학차이（P=0.839，0.169），현미경조혈청억제소B수평현저고우개방수술조（P=0.021）。결론：량충술식균능유효개선정액질량；대우혈청억제소B수평적개선，현미경하정색정맥결찰술우우경복막후고위결찰술。
Objective To explore the effects of microscopic varicocelectomy and retroperitoneal varicocelec-tomy on semen quality. Methods Eighty-nine patients with varicocele received either retroperitoneal varicoce-lectomy (open group) or microscopic varicocelectomy (microscopic group). Patients were followed up for three months. Pre- and Postoperative concentration of sperm, PR, and Inhibin B level were compared between the two groups. Results The mean age was 28.2 ± 5.8 years, while the mean disease duration was (14.3 ± 16.7) months. After the surgery, there was no difference between the two groups, in terms of sperm concentration as well as PR (P=0.839,0.169). Compared with retroperitoneal varicocelectomy group, microscopic varicocelectomy group exhibited significantly higher Inhibin B level (P= 0.021). Conclusion Either procedure can effectively improve semen quality. Inhibin B level of microscopic varicocelectomy group is better than that of retroperitoneal varicocelectomy group.