CAJ | 학술논문

目的：比较腹腔镜和开放手术治疗精索静脉曲张的临床效果。方法：选取精索静脉曲张患者80例，将其随机分为观察组和对照组各40例，观察组患者实施腹腔镜精索静脉高位结扎术，对照组采用开放手术经腹膜后精索静脉高位结扎术，比较两组手术情况、并发症及临床疗效。结果：观察组手术时间、术中出血量、住院时间、住院费用均明显少于对照组，两组比较差异具有统计学意义，P<0.01；且观察组止痛药使用率、并发症发生率也低于对照组，两组对比差异明显，P<0.05；观察组患者治疗后精液质量提高率为95.0%，对照组为80.0%，两组比较差异有统计学意义，P<0.05。结论：腹腔镜治疗精索静脉曲张较开放手术具有手术时间短、创伤小、恢复快、并发症少、费用低等优点，且患者精液质量提高率高，安全有效，值得临床推广。
목적：비교복강경화개방수술치료정색정맥곡장적림상효과。방법：선취정색정맥곡장환자80례，장기수궤분위관찰조화대조조각40례，관찰조환자실시복강경정색정맥고위결찰술，대조조채용개방수술경복막후정색정맥고위결찰술，비교량조수술정황、병발증급림상료효。결과：관찰조수술시간、술중출혈량、주원시간、주원비용균명현소우대조조，량조비교차이구유통계학의의，P<0.01；차관찰조지통약사용솔、병발증발생솔야저우대조조，량조대비차이명현，P<0.05；관찰조환자치료후정액질량제고솔위95.0%，대조조위80.0%，량조비교차이유통계학의의，P<0.05。결론：복강경치료정색정맥곡장교개방수술구유수술시간단、창상소、회복쾌、병발증소、비용저등우점，차환자정액질량제고솔고，안전유효，치득림상추엄。
objective:to compare laparoscopic and open surgery clinical effect for the treatment of varicocele. Methods:choose 80 patients with varicocele were randomly divided into observation group and control group, 40 cases observation group of patients with laparoscopic ligation of spermatic vein high im-plementation, control group adopts open surgery after retroperitoneal spermatic vein high ligation, comparing two groups of surgery, complications and clinical curative effect. Results: observation group operation time, intraoperative blood loss, hospital stay, hospital expenses were significantly less than the control group, two groups of comparison difference is statistical y significant, P<0.01;And the observation group painkil ers utilization rate, complication rate is lower than the control group, significant dif erence comparing the two groups, P<0.05;Observation group after treatment in patients with semen quality improve-ment rate was 95.0%, the control group was 80.0%, the more similar between the two groups have statistical significance, P <0.05). Conclusion:laparoscopic treatment of varicocele compared with open surgery with shorter operation time, smal trauma, rapid recovery, fewer complications, and low cost, and patients semen quality improvement rate is high, safe and effective, worthy of clinical promotion.