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1、治疗精索静脉曲张的手术方式选择【摘要】目的：探讨腹腔镜不同手术方式在精索静脉曲张屮的临床治疗效果。方法：对2013年1月-2014年12月木院收治的100例釆用腹腔镜手术治疗的精索静脉曲张患者资料进行分析，根据腹腔镜手术方法的不同将患者分为对照组和试验组，每组50例。对照组术中保留精索内动脉，试验组术中对精索连同动脉集束结扎，比较两组患者的疗效。结果：两组患者的住院费用比较差异无统计学意义(P>0・05)。试验组的手术时间和术后住院时间分别为(37.03±17,20)min、(3.37±2.19)d,均明显短于对照组的(47.56±23.38)min>(5.86±2.03)d
2、,差异均有统计学意义(P〈0・05)。试验组患者术前精子质量提高$20%的比例48.0%(24/50)明显高于对照组的26.0%(13/40),术后并发症发生率4.0%明显低于对照组的20.0%,差异均有统计学意义(P〈0.05)。结论：精索静脉曲张患者在腹腔镜下行精索连同动脉集束结扎治疗效果理想，手术对患者损伤小、疗效显著，复发率及并发症发生率低，值得推广使用。【关键词】腹腔镜不同手术方式；精索静脉曲张；治疗效果SurgicalTreatmentOptionsofVaricocele/ZOUFeng.//MedicalInnovationofChina,2016,13(09
3、)：129-132[Abstract]Objective：Toinvestigatetheclinicaleffectoflaparoscopicsurgeryindifferentwaysonvaricocele.Method：Thedataof100patientswithvaricocelewhounderwentlaparoscopicsurgeryadmittedtoourhospitalfromJanuary2013toDecember2014wereanalyzed,theyweredividedintothecontrolgroupandtheexperime
4、ntalgroupaccordingtothedifferenceoflaparoscopicsurgicalways,50casesineachgroup.Theinternalspermaticarteriesofpatientsinthecontrolgroupwereretained,whileforthepatientsoftheexperimentgroup,thespermaticcordwereclusterligationtogetherwiththeinternalarteryinthesurgery.Thetreatmenteffectwerecompa
5、redbetweenthetwogroups.Result：Therewasnosignificantdifferenceinthecostofhospitalizationbetweenthetwogroups(P>0.05)・Theoperativetimeandpostoperativehospitalstayoftheexperimentalgroupwere(37.03+17.20)min,(3.37±2.19)drespectively,whichweresignificantlyshorterthan(47.56+23.38)minand(5.86+2.03)d
6、ofthecontrolgroup,thedifferenceswerestatisticallysignificant(P〈0.05)•Theproportionofpreoperativespermqualityincreasedmorethan20%intheexperimentalgroupwas48.0%(24/50),whichwassignificantlyhigherthan26.0%(13/40)inthecontrolgroup,thepostoperativecomplicationrateoftheexperimentalgroupwas4.0%,wh
7、ichwassignificantly1owerthan20.0%ofthecontrolgroup,thedifferenceswerestatisticallysignificant(P<0.05)・Conclusion:Clusterligationofspermaticarterytogetherwithspermaticcordinthelaparoscopicsurgeryforpatientswithvaricocelehassignificanttreatmenteffect，lowre
