两种微创手术方式治疗精索静脉曲张的效果

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Abstract Objective To investigate the efficacy of two minimally invasive procedures for the treatment of varicocele. Methods From June 2014 to June 2016, 80 patients with varicocele at the 105th Hospital of PLA were randomly divided into laparoscopic group and microscope group according to random number table, witn 40 cases in each group, and treated by microscopic and laparoscopic varicocelectomy respectively. The semen parameters before and after surgery, operation time, intraoperative blood loss, postoperative hospital stay and postoperative complications and recurrence rate were measured respectively. Results Semen quality was significantly increased in both groups after surgery, and the improvement of semen quality was better than that of the laparoscopic group (P ＜ 0.05). The operation time of the microscope group was significantly longer than that of the laparoscopic group, with statistically significant difference (P < 0.05). There was no significant difference in intraoperative blood loss and postoperative hospital stay (P > 0.05). The incidence of postoperative omplications in the microscope group was significantly lower than that in the laparoscopic group, with statistically significant difference (P < 0.05). Conclusion Microscopic versus laparoscopic varicocelectomy are safe and effective ways to treat varicocele. Microscopic varicocelectomy is superior to laparoscopic varicocelectomy for its significantly improved semen quality and lower rates of postoperative complications．

Key words： Varicocele Laparoscopy Microscope Varicocelectomy

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	MENG Jie LI Haibo LI Chaozhi

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MENG Jie LI Haibo LI Chaozhi. Efficacy evaluation of two minimally invasive procedures for the treatment of varicocele[J]. 中国医药导报, 2017, 14(15): 86-89.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I15/86

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