现代泌尿外科杂志
現代泌尿外科雜誌
현대비뇨외과잡지
Journal of Modern Urology
2015年
10期
726-729
,共4页
刘刚%朝鲁%陈锐%崔志刚%刘小勇%宋笑童%刘淳%向瑜%韩文涛
劉剛%朝魯%陳銳%崔誌剛%劉小勇%宋笑童%劉淳%嚮瑜%韓文濤
류강%조로%진예%최지강%류소용%송소동%류순%향유%한문도
精索静脉曲张%显微手术%精子质量
精索靜脈麯張%顯微手術%精子質量
정색정맥곡장%현미수술%정자질량
varicocele%microsurgery%sperm quality
目的 探讨精索静脉曲张患者应用经外环下精索静脉显微结扎术(MV )的临床效果及对精子质量的影响.方法 选取解放军第306医院2011年1月至2014年12月收治的精索静脉曲张患者中仅左侧病变的241例为研究对象 ,116例接受经外环下精索静脉显微结扎术治疗患者为观察组 ,125例接受经腹膜后结扎精索血管(Palomo )术治疗患者为对照组 ,观察两组患者手术及住院情况 ,精子质量变化情况及手术安全性.结果 观察组患者同对照组比较 ,手术时间明显较长[(95 .31 ± 9 .63)vs .( 25 .12 ± 5 .11) ,P<0 .05] ,术后住院时间较短[(3 .19 ± 1 .03)vs .(7 .32 ± 1 .87) ,P<0 .05] ,术中出血量较少[(3 .75 ± 1 .32 )vs .(11 .49 ± 1 .76) ,P<0 .05];两组患者术前精液相关指标均无明显差异(P>0 .05) ,术后6个月均有明显改善 ,但观察组精子质量明显优于对照组( P<0 .05 );观察组并发症发生率为5 .17% ,同对照组16 .80% 比较 ,明显较低( P<0 .05 ).结论 在精索静脉曲张治疗中应用经外环下精索静脉显微结扎术 ,创伤小、恢复快、可更好地改善精子质量、具有较高安全性 ,值得推广.
目的 探討精索靜脈麯張患者應用經外環下精索靜脈顯微結扎術(MV )的臨床效果及對精子質量的影響.方法 選取解放軍第306醫院2011年1月至2014年12月收治的精索靜脈麯張患者中僅左側病變的241例為研究對象 ,116例接受經外環下精索靜脈顯微結扎術治療患者為觀察組 ,125例接受經腹膜後結扎精索血管(Palomo )術治療患者為對照組 ,觀察兩組患者手術及住院情況 ,精子質量變化情況及手術安全性.結果 觀察組患者同對照組比較 ,手術時間明顯較長[(95 .31 ± 9 .63)vs .( 25 .12 ± 5 .11) ,P<0 .05] ,術後住院時間較短[(3 .19 ± 1 .03)vs .(7 .32 ± 1 .87) ,P<0 .05] ,術中齣血量較少[(3 .75 ± 1 .32 )vs .(11 .49 ± 1 .76) ,P<0 .05];兩組患者術前精液相關指標均無明顯差異(P>0 .05) ,術後6箇月均有明顯改善 ,但觀察組精子質量明顯優于對照組( P<0 .05 );觀察組併髮癥髮生率為5 .17% ,同對照組16 .80% 比較 ,明顯較低( P<0 .05 ).結論 在精索靜脈麯張治療中應用經外環下精索靜脈顯微結扎術 ,創傷小、恢複快、可更好地改善精子質量、具有較高安全性 ,值得推廣.
목적 탐토정색정맥곡장환자응용경외배하정색정맥현미결찰술(MV )적림상효과급대정자질량적영향.방법 선취해방군제306의원2011년1월지2014년12월수치적정색정맥곡장환자중부좌측병변적241례위연구대상 ,116례접수경외배하정색정맥현미결찰술치료환자위관찰조 ,125례접수경복막후결찰정색혈관(Palomo )술치료환자위대조조 ,관찰량조환자수술급주원정황 ,정자질량변화정황급수술안전성.결과 관찰조환자동대조조비교 ,수술시간명현교장[(95 .31 ± 9 .63)vs .( 25 .12 ± 5 .11) ,P<0 .05] ,술후주원시간교단[(3 .19 ± 1 .03)vs .(7 .32 ± 1 .87) ,P<0 .05] ,술중출혈량교소[(3 .75 ± 1 .32 )vs .(11 .49 ± 1 .76) ,P<0 .05];량조환자술전정액상관지표균무명현차이(P>0 .05) ,술후6개월균유명현개선 ,단관찰조정자질량명현우우대조조( P<0 .05 );관찰조병발증발생솔위5 .17% ,동대조조16 .80% 비교 ,명현교저( P<0 .05 ).결론 재정색정맥곡장치료중응용경외배하정색정맥현미결찰술 ,창상소、회복쾌、가경호지개선정자질량、구유교고안전성 ,치득추엄.
Objective To investigate the clinical efficacy of outer spermatic vein microanatomy ligation in treating vari-cocele and its effects on sperm quality .Methods A total of 241 varicocele patients treated in our hospital during Mar .2012 and Jan .2015 were divided into 2 groups:the observation group ( n=116) ,who were treated with outer spermatic vein under microanatomy ligation treatment ,and control group (n=125) ,who were treated with retroperitoneal ligation of the spermatic vessels .The paraoperative parameters and sperm quality changes were observed .Results Compared with the control group , the observation group had longer operation time (95 .31 ± 9 .63 vs .25 .12 ± 5 .21 ,P<0 .05) ,shorter postoperative hospital stay (3 .19 ± 1 .03 vs .7 .32 ± 1 .87 , P<0 .05) ,and less intraoperative blood loss (3 .75 ± 1 .32 vs .11 .49 ± 1 .76 , P<0 .05) .As to semen quality ,there was no difference between the two groups ,and both groups improved after operation ,but the observation group had much better semen quality 6 months after operation (P<0 .05) .The incidence of complications was 5 .17% of the observation group ,which was much lower than that of the control group (16 .8% ) (P<0 .05) .Conclusion Outer spermatic vein microanatomy ligation to treat varicocele has less surgical trauma and quick recovery ,and can significantly improve sperm quality .Therefore ,it should be widely applied in clinical practice .