腹腔镜高位结扎术治疗精索静脉曲张性不育患者的疗效分析.docVIP

精品论文 参考文献 腹腔镜高位结扎术治疗精索静脉曲张性不育患者的疗效分析 陈旭 　　(新津县人民医院泌尿外科 四川 成都 611430) 　　【摘要】 目的：观察分析腹腔镜高位结扎术用于精索静脉曲张性不育患者的方式与临床治疗效果。方法：选取我院2014年10月～2015年12月收治的静脉曲张性不育患者40例，随机均分为对照组与治疗组，对照组予以常规开放手术治疗，治疗组予以腹腔镜高位结扎术治疗，观察对比2组患者手术情况、术后精子质量、术后并发症情况。结果：治疗组平均术中出血量（47.3plusmn;5.4）ml，少于对照组（P＜0.05），手术时间（34.3plusmn;2.2）min，术后住院时间（3.8plusmn;0.4）d，均短于对照组（P＜0.05）；术后3个月平均精子浓度（52.2plusmn;10.5）106个/ml，精子活力（73.5plusmn;11.6）%，精子畸形率（11.2plusmn;4.9）%，均优于同期对照组（P＜0.05）；术后鞘膜积液0例、睾丸萎缩0例、病情复发1例，并发症发生率5.0%，显著低于对照组（P＜0.05）。结论：腹腔镜高位结扎术式的应用利于缩短手术时间与恢复时间、减少术中出血，提升精子浓度、活力并降低畸形率，降低病情复发率、睾丸萎缩率、鞘膜积液等并发症发生率，值得在精索静脉曲张性不育患者临床治疗中进一步推广应用。 　　【关键词】 腹腔镜高位截扎术；精索静脉曲张性不育；疗效 　　【中图分类号】R699.8 【文献标识码】A 【文章编号】2095-1752（2016）19-0019-02 　　Analysis of curative effect of laparoscopic high ligation in treatment of varicocele infertility patients 　　Chen Xu. The Peoples Hospital of Xinjin County, Sichuan Province, Chengdu 611430, China 　　【Abstract】 Objective Analyze the laparoscopic high ligation for infertile patients with varicocele sex way and clinical therapeutic effect. Methods Choose from October 2014 to December 2015 were 40 patients with varicose veins sex infertility, were randomly divided into control group and treatment group, control group to conventional open surgery. Laparoscopic high ligation treatment in treatment group. Results Bleeding amount of average lower in treatment group than the control group. Operation time, postoperative hospital stay were shorter than the control group. Postoperative 3 months average sperm concentration, sperm motility, sperm deformity rate, the same period were better than the control group (P lt; 0.05). Conclusions The application of laparoscopic high ligation operation to shorten the operation time and recovery time, reduce intraoperative bleeding, improve sperm concentrations and vitality, is worthy of popularization and application in the clinical treatment. 　　【Key words】 Laparoscopic surgical high cutting firm; Varicocele infertility; The curative eff