腹腔镜与显微镜下治疗青年精索静脉曲张疗效分析
- 1、下载文档前请自行甄别文档内容的完整性,平台不提供额外的编辑、内容补充、找答案等附加服务。
- 2、"仅部分预览"的文档,不可在线预览部分如存在完整性等问题,可反馈申请退款(可完整预览的文档不适用该条件!)。
- 3、如文档侵犯您的权益,请联系客服反馈,我们会尽快为您处理(人工客服工作时间:9:00-18:30)。
Hans Journal of Surgery外科, 2015, 4, 13-19
Published Online April 2015 in Hans. /journal/hjs
/10.12677/hjs.2015.42003
Comparison of the Outcomes of
Laparoscopic Varicocelectomy and
Microscopic Varicocelectomy in Adolescence
Guanghai Sun, Cuilong Liu*, Yiguang Wu, Yubo Zhao, Yansheng Xu, Maojun Zhou, Yi Wang, Xiyou Wang, Weimin Guan
PLA Navy General Hospital, Beijing
Email: 544823996@, *lclwq-83107@
Received: Apr. 1st, 2015; accepted: Apr. 12th, 2015; published: Apr. 17th, 2015
Copyright © 2015 by authors and Hans Publishers Inc.
This work is licensed under the Creative Commons Attribution International License (CC BY).
/licenses/by/4.0/
Abstract
Objective: To compare curative effect between microscopic and laparoscopic approach for treatment of varicocele. Method: We retrospectively analyzed 71 adolescence varicocele patients after treat-ment follow-up data. 39 cases underwent laparoscopic high ligation of spermatic vein (laparoscopic group). 32 patients received ligation of varicocele group under the microscope (microscopy group).
The semen quality, hormone levels and testicular volumes of these two groups of patients before and after the operation, operation time, hospitalization days and cost were compared. Results: All pa-tients were successfully completed the operation. Laparoscopic group compared with microscope group operation time is obviously shortened (85.94 + 20.44VS39.00 + 9.69, P < 0.05). There was no statistically significant difference of postoperative hospital stay (P > 0.05), but the cost was signifi-cantly increased (4866 + 541.45VS7820 + 906.21, P < 0.05). Compared with preoperative semen quality, postoperative semen quality of these two groups of patients showed no statistical significance.
Sperm density, sperm survival rate, A + B grade sperm significantly improved (P < 0.05). In the lapa-roscopic group after operation, 2 cases (5.1%) of recurrence, 1 case (2.6%) of patients with epididy-mitis; 2 cases (5.1%) clinical symptoms persisted and 2 cases (5.1%) occurred scrotal edema. How-ever, no recurrence, epididymitis, scrotal edema in the microscope group after operation, but 1 case
(3.1%) of patients with persistent symptoms. Conclusion: Most of the youth semen quality of patients
with varicocele has affected; early operation can restore the semen quality or decrease the damage level of semen quality. Laparoscopic and microscope to treat varicocele were minimally invasive op-eration. They have the characteristics of small trauma, good curative effect, but the microsurgical op-eration has the advantages of low cost, lower postoperative recurrence rate and fewer complications characteristics.
Keywords
Adolescence, Varicocele, Semen Quality, Laparoscopy, Microscopy, Chronic Prostatitis
*通讯作者。