Comparison of high ligatton by different operation for the treatment of varicocele

VernacularTitle:不同术式治疗精索静脉曲张的疗效比较
Author: Shiqing ZHANG ; Guoqing ZHANG ; Meng WANG
Publication Type:Journal Article
Keywords: Varicocele; Laparoseopes; Comparative effectiveness research; Laparoscopic ligation of spermatic vessel cluster
From: International Journal of Surgery 2012;39(10):683-685
CountryChina
Language:Chinese
Abstract: Objective To compare the effects of laparoscopy and open surgery of ligation of spermatic vessel cluster or internal spermatic vein for the treatment of varicocele.Methods By using randomized controlled trial,120 cases with varicocele who stayed and were treated in our hospital were divided into 4 groups(30 cases every group) from Jun.2007 to Oct.2011.The efficacy of 4 groups was observed and compared.Results Four operations were performed successfully.Laparoscopy approached less than open surgery in terms of the days of stay in hospital (P ＜ 0.05).The quality of semen in four groups was all increased by comparing spermatozoa density,motility rate before and after operation(P ＜ 0.05),but no difference was found among four groups (P ＞ 0.05).In 0.5-1 year follow-up,follow-up rate was 92.5％,without atrophy of testes.Conclusion The operation of laparoscopic spermatie vessel cluster ligation in patients with varicoceh has the advantage of confirmed effect,which is an alternative operative method of treatment for patients with varicocele.