CAJ | 학술논문

目的:比较经显微外科与腹腔镜途径精索静脉结扎术治疗精索静脉曲张的疗效及并发症.方法:将86例精索静脉曲张患者随机分为显微外科精索静脉结扎术组(43例)和腹腔镜精索静脉结扎术组(43例),比较术前、术后3个月的精液质量、术后并发症、术后配偶妊娠率.结果:显微外科组手术时间明显长于腹腔镜组(p <0.05);术后住院天数显微外科组为(3.6±0.7)d,腹腔镜组为(2.8±0.8)d,两组无明显差别;两组术后精子密度、活率、a+b 级精子百分率均较前明显提高(p <0.05),但两组间无统计学差异.配偶妊娠率显微外科组为65.2%,腹腔镜组为62.4%.术后一周内阴囊水肿发生率显微外科组为6.97%,腹腔镜组为9.30%;术后睾丸鞘膜积液发生率显微外科组为0例,腹腔镜组为1例(2.32%);术后复发率均为0例.(p ﹥0.05)结论:与腹腔镜精索静脉结扎术比,显微外科精索静脉结扎术创伤更小,恢复快、麻醉经济、术后并发症少、复发率低,是值得推广的安全有效的术式.
목적:비교경현미외과여복강경도경정색정맥결찰술치료정색정맥곡장적료효급병발증.방법:장86례정색정맥곡장환자수궤분위현미외과정색정맥결찰술조(43례)화복강경정색정맥결찰술조(43례),비교술전、술후3개월적정액질량、술후병발증、술후배우임신솔.결과:현미외과조수술시간명현장우복강경조(p <0.05);술후주원천수현미외과조위(3.6±0.7)d,복강경조위(2.8±0.8)d,량조무명현차별;량조술후정자밀도、활솔、a+b 급정자백분솔균교전명현제고(p <0.05),단량조간무통계학차이.배우임신솔현미외과조위65.2%,복강경조위62.4%.술후일주내음낭수종발생솔현미외과조위6.97%,복강경조위9.30%;술후고환초막적액발생솔현미외과조위0례,복강경조위1례(2.32%);술후복발솔균위0례.(p ﹥0.05)결론:여복강경정색정맥결찰술비,현미외과정색정맥결찰술창상경소,회복쾌、마취경제、술후병발증소、복발솔저,시치득추엄적안전유효적술식.
Objective: To compare the effects and postoperative complications of microscopic varicocelectomy (MV)and laparoscopic varicocelectomy(LV) in the treatment of varicocele. Methods:We assigned 86 varicocele patients to two groups of equalnumber to be treated by MV and LV.We compared the two groups in the semen parameters before and 3 months after surgery,postoperative complications,and pregnancy rates of the patients`wives. Results:The operative time was significantly longer in the MV than in the LV group(p < 0.05).The postoperative hospital stay showed no significant difference between the MV and LV groups(3.2±0.7)d vs (2.8±0.8)d .sperm concentration,sperm motility and the percentage of grade a+b sperm were singnificantly increased in both groups after surgery ( p < 0.05),but with no significant differences between the two. The pregnancy rate was 65.2%in the former and 62.4% in the latter.Postoperative hydrocele occurred in 2cases in the LV,but none in the MV group.There were no statisticaly significant differences in recurrence between the two groups(p﹥ 0.05). Conclusion: MV is superior to LV for its minimal invasiveness, economical anesthesia, faster recovery and lower rates of postoperative complications and recurrence.