Laparoscopic high selective ligation of spermatic veins for treatment of varicocele
10.3760/cma.j.issn.1000-6702.2010.07.021
- VernacularTitle:腹腔镜下高选择性精索静脉高位结扎治疗精索静脉曲张
- Author:
Hanguo JING
;
Lizhi HUO
;
Shouxian YUAN
- Publication Type:Journal Article
- Keywords:
Laparoscopes;
Varicocele;
High selective;
High ligation of spermatic vein
- From:
Chinese Journal of Urology
2010;31(7):493-495
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the treatment choices of varicocele by laparoscopic. Methods Retrospective analysis clinical datas of 337 patients with primary varicocele above grade Ⅱ.All of them were treated by operation and followed-up,238 cases had scrotum pain.265 cases were infertility after married.History of diseases was between 1-13 years.249(197 patients with infertility)were treated with laparoscopic high selective ligation of spermatic veins,as Group A.88(68 patiets with infertility)were treated with laparoscopic cluster ligation,as Group B.The clinical data were compared. Results Three hundreds and thirty-seven cases were followed-up 2 years after operation.The operative times of two groups were(38.04±10.9)min、(19.04±7.5)min,the incidences of hydrocelewere 0.4%(1/249),11.3%(10/88);theincidences oftesticular atrophywere 0%(0/249),3.4%(3/88);the improving rates of semen quality in 3 months were 77.1%(192/249),62.5%(55/88);the spontaneous pregnant rates of his spouses in 2 years were 56.8%(112/197),39.7%(27/68).There were significant differences among the 2 groups(P<0.05).The recurrence rates were 5.6%(14/249),4.5%(4/88),there was no significant difference among the 2 groups(P>0.05). Conclusion Laparoscopic high selective ligation of spermatic veins in this study had less complications,higher improving rates of semen quality and pregnant rates.
