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目的探讨内环小切口与腹膜后小切口两种治疗精索静脉曲张的方法与疗效的关系。方法共对460例精索静脉曲张的男性不育症患者施行手术,其中采用内环小切口230例,采用腹膜后小切口230例。结果内环小切口组平均手术时间(15±5.25)min,伤口出血量(14.45±7.34)mL,平均卧床时间(0.95±0.38)h;术后2个月复诊,210例症状、体征明显改善,精液检查结果精子数目、活力及正常形态的精子明显升高210例,随访1年有2例复发。腹膜外小切口组平均手术时间(35±6.21)min,伤口出血量(34.42±5.37)mL,平均卧床时间(6.93±1.28)h;术后2个月复诊,212例症状、体征明显改善,精液检查结果精子数目、活力及正常形态的精子明显升高212例,随访1年有3例复发。结论经内环小切口治疗精索静脉曲张具有操作简便、手术时间短、损伤小、恢复快、疗效好的优点,适合在基层医院推广应用。
Objective To investigate the relationship between curative effect and curative effect of two kinds of small incision and retroperitoneal incision on varicocele. Methods A total of 460 cases of male infertility patients with varicocele underwent surgery, including the use of a small incision in 230 cases, the use of 230 cases of small retroperitoneal incision. Results The average operative time (15 ± 5.25) min, the amount of wound bleeding (14.45 ± 7.34) mL and the average bed rest time in the small incision group (0.95 ± 0.38) h were significantly improved after 2 months of follow-up , Sperm test results sperm count, vitality and normal morphology of sperm was significantly higher in 210 cases, followed up for 1 year, 2 cases of recurrence. The mean operative time (35 ± 6.21) min, wound bleeding (34.42 ± 5.37) mL and average bed rest time (6.93 ± 1.28) h in the extraperitoneal small incision group were significantly higher than those in the control group Semen test results Sperm count, vitality and normal morphology of sperm increased significantly 212 cases, followed up for 1 year, 3 cases of recurrence. Conclusions The treatment of varicocele by a small incision in the inner ring has the advantages of simple operation, short operation time, small injury, quick recovery and good curative effect, which is suitable for promotion and application in primary hospitals.