|
|
|
| Clinical Effect of Spermatic Vein Ligation on Varicocele under Modified Outer Ring |
| BU Xiao-bin, XU Hu, GAO Fei, et al |
| Dept. of Urinary Surgery, The Second Yulin Hospital, Shaanxi Province, Yulin, 719000 |
|
|
|
|
Abstract 【Objective】To analyze the clinical effect of spermatic vein ligation on varicocele under microscopically modified outer ring.【Methods】The clinical data of 100 patients with varicocele from January 2015 to December 2010 in our hospital were analyzed retrospectively. According to the patients' surgical procedure, they were divided into microscope surgery group (modified outer ring) and traditional surgery group (trans-rectal spermatic cord suture) , with 50 cases in each group. The surgical outcomes, the incidence of complications, the recurrence rate and the semen density and viability were compared between the two groups.【Results】The surgeries in all patients of the two groups were successfully completed. The operation time of the microscope group was significantly longer than that of the traditional group (P<0.05) , but the hospitalization time was significantly lower than that of the traditional operation group (P<0.05) . The postoperative VAS score was significantly lower in the microscope group than in the traditional group; the difference was statistically significance (P<0.05) . The recurrence rate of the microscope group was significantly lower than that of the conventional operation group (P<0.05) . The postoperative sperm and viability of the two groups were statistically higher than those before operation (P<0.05) , and the improvement rate of the microscope group was greater than that of the traditional group (P<0.05) . The incidence of postoperative complications in the microscope group was significantly lower than that in the traditional group (4.0% vs 32.0%, respectively; χ2=12. 53, P＜0.05) .【Conclusion】The modified spermatic vein ligation in the outer ring has good clinical effect in the varicocele, which can effectively reduce the postoperative complications and recurrence rate, improve the semen density and vitality of the patients, and have the advantages of convenient operation. It is worthy of promotion in clinical use.
|
|
Received: 13 April 2017
|
|
|
|
|
|
[1] 闵立贵, 吴群, 沈勇虎, 等. 经皮小切口腹膜外超选择性精索静脉结扎和腹腔镜手术治疗精索静脉曲张的临床随机对照研究[J]. 临床泌尿外科杂志, 2015, 25(7):524-526.
[2] 徐培元, 周四维, 赵高贤, 等. 经腹膜后精索内静脉高位结扎治疗精索静脉曲张[J]. 临床泌尿外科杂志, 2015, 20(1):25-26.
[3] 唐松林, 韩芳, 赵海生, 等. 腹腔镜下精索静脉结扎术中是否保留睾丸动脉与术后并发附睾炎的相关性[J]. 实用医学杂志, 2015, 34(11):1784-1785.
[4] 宁亮, 张亚妮, 顾甜甜, 等. 显微精索静脉结扎手术的省时改进——显微结扎钉的应用[J]. 现代泌尿外科杂志, 2016, 21(9):697-699.
[5] 曾京华, 胡卫列, 罗汉宏, 等. 显微镜下经腹股沟途径与传统Palomo精索静脉结扎术治疗陆军精索静脉曲张患者术后并发症的比较[J]. 南方医科大学学报, 2013, 33(1):138-141.
[6] 吴志强, 凌云, 王国友, 等. 腹腔镜下精索静脉高位结扎术、改良 Palomo 术和经腹股沟管精索静脉结扎治疗精索静脉曲张的疗效对比[J]. 现代医院, 2014, 34(7):52-53.
[7] 林俊平. 腹腔镜和显微镜下精索静脉结扎术治疗精索静脉曲张的比较研究[J]. 中国实用医药, 2015, 24(17):124-125.
[8] Cariati M, Pieri S, Agresti P, et al. Diagnosis of right-sided varicocele: A retrospective comparative study between clinical examination, Doppler findings, US imaging and vascular anatomy at phlebography[J]. Eur J Radiol, 2015, 81(9):1998-2006.
[9] Akkoyunlu G, Erdoru T, Seval Y, et al. Immunolocalization of glial cell-derived neurotrophic factor(GDNF) and its receptor GFR-alpha1 in varicocele-induced rat testis[J]. Acta Histochem, 2007, 109(2):130-137.
[10] Dogan F, Armagan A, Oksay T, et al. Impact of micronised purified flavonoid fraction on increased malondialdehyde and decreased metalloproteinase-2 and metalloproteinase-9 levels in varicocele: outcome of an experimentally induced varicocele[J]. Andrologia, 2014, 46(4):380-385. |
|
|
|
2017, Vol. 34 
