Comparison of clinical efficacy of subinguinal microsurgical and single -port laparoscopic high ligation in the treatment of varicocele
10.3760/cma.j.issn.1008-6706.2017.05.032
- VernacularTitle:显微镜腹股沟下与经脐单孔腹腔镜高位结扎治疗精索静脉曲张的疗效比较
- Author:
Zhiguo YANG
;
Guangli JI
;
Fachen MIAO
;
Qingqin REN
;
Bo ZHANG
;
Yong MA
;
Shiqiao HUANG
- Keywords:
Varicocele;
Microscopic;
Laparoscopy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(5):763-766
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of subinguinal microsurgical and single -port laparoscopic high ligation in the treatment of varicocele.Methods 218 patients with varicocele were enrolled in this study.According to the digital table,they were randomly divided into two group.148 cases were treated by subinguinal microscopic varicocelectomy(microscopic group),70 cases were treated by single -port laparoscopic high ligation varicocele(single -port laparoscopic group).Postoperative follow up was 3 -24months.The operative duration,length of hospital stay,hospitalization expense,postoperative complications and semen quality parameters were compared between the two groups.Results There were statistically significant differences in operative duration and hospitalization expense between the two groups(all P <0.05).There was no statistically significant difference in length of hospital stay (P >0.05).In the 218 followed -up patients,the sperm concentration and motility (grade a + b sperm)all significantly improved,which of the microscopic group and single -port laparoscopic group preoperation were (19.1 ± 8.2)×106 /mL,(18.2 ±7.9)×106 /mL and (22.7 ±7.8)%,(21.6 ±8.9)% respectively,which at 3 -6 months after operation were (56.2 ±10.8)×106 /mL,(45.8 ±12.9)×106 /mL and (58.8 ±9.7)%,(44.6 ±10.7)%, there were statistically significant differences compared with preoperation (t =6.227,9.579,all P <0.05 ). Conclusion The surgical methods in the treatment of varicocele can improve the quality of patients,but microscopic group is obviously better than single -port laparoscopic group in improvement of semen quality parameters,safety, patient -based compliance and economy.
