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目的:比较腹腔镜和显微镜下治疗精索静脉曲张的疗效。方法:将82例精索静脉曲张患者分成两组,44例行腹腔镜精索静脉高位结扎术(腹腔镜组),38例显微镜下行精索静脉高位结扎术(显微镜组)。对比两组患者术后间精液质量、并发症、手术所用时间、术后恢复时间及住院费用。结果:两组术后精液质量、促滤泡成熟激素(FSH)、睾酮及抑制素B比较差异无统计学意义(P>0.05)。两组术后阴囊水肿、保留精索内动脉、手术平均时间、平均住院时间、平均住院费用比较,差异均有统计学意义(P<0.05)。结论:从安全性及经济性方面考虑,显微镜下行精索静脉高位结扎术明显优于腹腔镜精索静脉高位结扎术,值得临床推广。
Objective: To compare the efficacy of laparoscopic and microscopic treatment of varicocele. Methods: 82 patients with varicocele were divided into two groups, 44 patients underwent laparoscopic varicocele ligation (laparoscopic group) and 38 underwent microsurgical high varicocele ligation (microscope group). The postoperative sperm quality, complications, operation time, postoperative recovery time and hospitalization cost were compared between the two groups. Results: There was no significant difference in postoperative semen quality, follicular stimulating hormone (FSH), testosterone and inhibin B between the two groups (P> 0.05). Scrotal edema and retention of spermatic cord in both groups were significantly different between the two groups (P <0.05). The average operation time, average length of hospital stay and average hospitalization cost were statistically significant. Conclusion: From the perspective of safety and economy, microscopically superior varicocele ligation is superior to laparoscopic varicocele ligation, which is worthy of clinical promotion.