显微镜精索静脉结扎术与开放精索静脉高位结扎术的比较

发布时间：2018-07-27 10:11

【摘要】：目的明确显微镜下腹股沟精索静脉结扎术与开放精索静脉高位结扎术后生育率、精液质量的变化,睾丸内分泌功能、勃起功能与睾丸体积的差异。方法共收治患者40例,根据治疗方案随机分成两组,分别使用开放手术精索静脉结扎术(开放组)和显微镜精索静脉结扎术(显微镜组),观察其术前及术后6个月的生育率、精液质量参数、睾丸内分泌参数、勃起功能与睾丸体积参数。结果观察结束时开放组和显微镜组使女方怀孕分别是2例(11.1%)和4例(22.2%)(P=0.371)。两组患者精子总数、精子浓度、前向运动率、总运动率、正常形态均有明显改善(P0.05)。术后6个月比较两组的精液参数、前向运动率及正常形态率,显微镜组比开放组更好(P0.05)。组间激素浓度均差异无统计学意义(P0.05)。睾丸体积在手术前后以及组间比较均差异无统计学意义(P0.05)。结论在有条件的情况下,显微外科手术应尽可能选为精索静脉曲张的一线治疗,疗效确切、费用较低是其最主要优点。
[Abstract]:Objective to investigate the differences of fertility rate, semen quality, testicular endocrine function, erectile function and testicular volume after inguinal vein ligation and open spermatic vein ligation under microscope. Methods A total of 40 patients were randomly divided into two groups according to the treatment plan. Open spermatic vein ligation (open group) and microscopical spermatic vein ligation (microscope group) were used to observe the fertility rate before and after 6 months. Semen quality parameters, testicular endocrine parameters, erectile function and testicular volume parameters. Results at the end of the observation, 2 cases (11.1%) and 4 cases (22. 2%) were pregnant in the open group and the microscope group respectively (P < 0. 371). The total sperm count, sperm concentration, forward motility rate, total motility rate and normal morphology were significantly improved in both groups (P0.05). Six months after operation, the semen parameters, forward motion rate and normal morphology rate of the two groups were compared, and the microscope group was better than the open group (P0.05). There was no significant difference in hormone concentration between groups (P0.05). There was no significant difference in testicular volume before and after operation and between groups (P0.05). Conclusion under the condition of condition, microsurgery should be chosen as the first line treatment of varicocele as far as possible.
【作者单位】：惠来县人民医院泌尿外科;南方医科大学珠江医院泌尿外科;
【分类号】：R699.8

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