显微镜下精索静脉结扎术对青年原发性精索静脉曲张患者的安全性评价

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Abstract Objective To study the safety of spermatic vein ligation under microscope for young patients with primary varicocele. Methods 80 primary varicocele patients in this hospital from June 2012 to December 2014 were enrolled for study and randomly divided into study group and control group.The study group received spermatic vein ligation under the microscope, the control patients received retroperitoneal spermatic vein ligation surgery. Then surgery condition, sperm quality, complications and recurrence between the two groups were compared. Results Operation:in the study group,postoperative bed time was[(1.05±0.45)d vs (5.36±0.72)d,P<0.05], hospitalization time was[(6.12±0.44)d vs (7.92±0.56)d,P<0.05], NRS pain score [(1.03±0.35) vs (2.75±0.48),P<0.05] were significantly lower than in the control group, operation time was significantly longer than in the control group.Semen quality: 3 months after surgery,in the study group,sperm density and sperm activitywer grade A, forward sperm activity rate was significantly higher than in the control group.Sperm movement ability: 3 months after surgery, in the study group,sperm speeding ahead, straight line movement,and curve movement were significantly higher than in the control group.Recurrence rate:in the study group.varicose vein recurrence rate 0.00% was significantly lower than in the control group 12.50%(P<0.05). Conclusions Spermatic vein ligation under a microscope helps to reduce surgical trauma, promotes postoperative recovery,improves sperm quality,and prevents long-term relapse.

Key words： primary varicocele spermatic vein ligation microscope sperm quality

Received: 24 November 2015

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R697.24

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	Articles by authors
	WENG Mai
	LIU Jianchun
	JING Jitao
	YU Hua
	FAN Hang
	LIU Madou
	and ZHOU Jing

Cite this article:

WENG Mai,LIU Jianchun,JING Jitao等. Evaluation of safety of spermatic vein ligation under microscope for young patients with primary varicocele[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(5): 476-478.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2016/V27/I5/476

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