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目的:对比研究腹腔镜和开放手术行精索静脉高位结扎术治疗精索静脉曲张的疗效。方法:回顾分析51例腹腔镜和69例开放手术行精索静脉高位结扎术的临床资料,比较两种方法在手术时间、术后住院天数、综合治疗费用及术后8、24、48h数字评分法(numerical rating scale,NRS)值的差异。结果:两组在手术时间、术后住院天数及疼痛等方面差异均有极显著的统计学意义(P<0.01),腹腔镜组优于开放组,综合治疗费用两组无显著差异(P>0.05)。结论:腹腔镜治疗精索静脉曲张较开放手术具有患者创伤小、康复快、术后住院时间短及美容效果好等优点。
OBJECTIVE: To compare the efficacy of laparoscopic and open stenosis with varicocele ligation in the treatment of varicocele. Methods: The clinical data of 51 cases of laparoscopic sphincter and 69 cases of open spermatic vein ligation were retrospectively analyzed. The operative time, the number of postoperative hospital stay, the cost of comprehensive treatment and the digital score of 8, 24 and 48 hours after operation were compared between the two methods. Differences in numerical rating scale (NRS) values. Results: There was significant difference between the two groups in operation time, postoperative days of hospitalization and pain (P <0.01), laparoscopic group was better than open group, there was no significant difference between the two groups (P> 0.05). Conclusions: Laparoscopic treatment of varicocele has the advantages of less trauma, faster recovery, shorter postoperative hospital stay and better cosmetic results than open surgery.