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目的该研究旨在探讨显微镜下腹股沟管精索静脉结扎术和外环下精索静脉结扎术临床疗效。方法选择了100例精索静脉曲张患者,分为腹股沟管开口组(20例)和外环下开口组(80例)。通过术后住院天数、精液质量恢复情况、术后是否出现手术并发症,来评价两种术式的临床疗效。结果 100例手术均获成功。腹股沟管组术后住院天数平均(1.55±0.60)d,外环下精索静脉曲张结扎术术后住院天数平均(1.59±0.59)d,二者没有统计学差异(t=-0.253,P=0.800)。所有患者3~6个月复查时,外环下组出现2例患者有术后疼痛,腹股沟管组未出现疼痛患者,两组患者均无阴囊水肿等并发症发生。结论显微镜下腹股沟管精索静脉曲张结扎术和外环下精索静脉曲张结扎术在治疗精索静脉曲张疗效方面没有明显差别,均是用于治疗精索静脉曲张有效方法,并且均有创伤小、恢复快、复发率低等优点,但外环下开口要求更高的手术技能。
Objectives This study aimed to investigate the clinical efficacy of microsurgical inguinal canal varicocele ligation and external subclavian suture ligation. Methods One hundred patients with varicocele were selected and divided into inguinal canal open group (20 cases) and open outer ring group (80 cases). The postoperative hospitalization days, semen quality recovery and postoperative complications were evaluated to evaluate the clinical efficacy of the two surgical procedures. Results 100 cases were successful. Inpatients with inguinal canal had a mean postoperative hospital stay of 1.55 ± 0.60 days and an average of 1.59 ± 0.59 days after external varicocele ligation. There was no significant difference between the two groups (t = -0.253, P = 0.800). All patients underwent 3 to 6 months of review, there were 2 patients in the outer ring group with postoperative pain, patients without inguinal canal pain, and no complications such as scrotal edema in both groups. CONCLUSIONS: There is no significant difference in the efficacy of varicocele ligation between the inguinal canal and varicocele under the circumstance of varicocele, both of which are effective methods for the treatment of varicocele, and all have small trauma , Fast recovery, low recurrence rate, etc., but the outer ring openings require higher surgical skills.