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目的 观察腹腔镜与开放手术治疗精索脉曲张的疗效。方法 采用腹腔镜精索内静脉高位结扎术40例 ,经腹股沟内环精索静脉高位结扎 32例 ,术后随访 3个月～ 3年。结果 所有患者术后精子计数、活动率、活动力较术前比较均有明显改善 (P <0 0 1) ,与常规手术组相比 ,腹腔镜组的精子计数、活动率、活动力改善更为明显 (P <0 0 1)。结论 腹腔镜精索内静脉高位结扎术治疗精索静脉曲张具有创伤小 ,疗效好 ,并发症少等优点 ,是治疗精索静脉曲张的理想方法。
Objective To observe the effect of laparoscopy and open surgery on varicocele. Methods Forty cases underwent laparoscopic spermatic vein ligation, 32 cases underwent high ligation of the inguinal medial varicocele. The patients were followed up for 3 months to 3 years. Results The postoperative sperm count, activity rate and activity of all patients were significantly improved compared with those before operation (P <0.01). Compared with the conventional operation group, sperm count, activity rate and activity of the laparoscopic group were improved As obvious (P <0.01). Conclusion Laparoscopic ligation of superior vena cava with varicocele has the advantages of less trauma, better curative effect and fewer complications. It is an ideal method for the treatment of varicocele.