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| Clinical Effect and Follow-up Analysis of Different Surgical Methods in the Treatment of Varicocele |
| ZHANG Peng-jie, YANG Fan, REN Wei,et al |
| Renal Hemodialysis Center, Shaanxi Provincial People's Hospital, Xi'an 710068,Shaanxi |
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Abstract 【Objective】To compare the clinical effect and follow-up results of different surgical methods in the treatment of varicocele. 【Methods】 Eighty-eight patients with varicocele treated in the department of urinary surgery in our hospital between January 2013 and June 2015 were selected as subjects. According to the random number table, they were divided into group A (n=46) and group B (n=42). Group A underwent low ligation of spermatic vein under the microscope while group B underwent high ligation of spermatic vein. The operation time, length of hospital stay, incidence of postoperative complications, total effective rate, recurrence rate and atrophy rate 1 year postoperatively were compared between the two groups. 【Results】The operation time of group A was longer than that of group B while the length of hospital stay was shorter than that of group B (P<0.05). The incidence rates of epididymitis, hydrocele, scrotal edema and other complications in group A (2.2%, 2.2%, 4.3%) were lower than those in group B. The total response rate in group A (97.8%) was higher than that in group B (83.3%) (P<0.05). At the end of follow-up, there was no recurrence found in group A group; the recurrence rate was lower than that in group B [9.7% (4/41)]. The atrophy rate [2.2% (1/45)] in group A was lower than that in group B [14.3% (6/41)](P<0.05). 【Conclusion】The application of low ligation of spermatic vein under the microscope in the treatment of varicocele can effectively protect the testicular artery and lymphatic tube, which is conductive to reducing postoperative complications, recurrence rate and testicular atrophy rate so that patients can recover quickly. It is of high clinical application value.
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Received: 10 July 2016
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2016, Vol. 33 
