中国不育男性显微外科精索静脉曲张切除术两种方法的比较
Comparison of two approaches in microsurgical varicocelectomy in Chinese infertile males.
作者信息
Pan Feng, Pan Lianjun, Zhang Aixia, Liu Yong, Zhang Fenglei, Dai Yutian
机构信息
Department of Urology, Affiliated Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing, China.
出版信息
Urol Int. 2013;90(4):443-8. doi: 10.1159/000345606. Epub 2013 Jan 12.
OBJECTIVE
To compare the outcomes of two approaches (inguinal and subinguinal) of microsurgical varicocelectomy (MV) in Chinese infertile men.
PATIENTS AND METHODS
120 infertile men who met the inclusion criteria were randomly assigned to two groups and operated with MV using different approaches. The outcomes and complications were then compared.
RESULTS
The two groups were similar in all aspects except the percentage of patients using analgesic at 27 h postoperatively (57.6% in the inguinal group, 37.5% in the subinguinal group; p < 0.05). Spontaneous pregnancy was achieved at a ratio of 33.9% in the inguinal group and 30.4% in subinguinal group. The median values of semen parameters were significantly improved postoperatively in both groups.
CONCLUSIONS
Both approaches are effective methods in the repair of varicocele in infertile men, but more analgesic medication at the first day after operation may be required in inguinal group.
目的
比较显微外科精索静脉曲张切除术（MV）的两种入路（腹股沟和腹股沟下）在中国不育男性中的治疗效果。
患者与方法
120名符合纳入标准的不育男性被随机分为两组，采用不同入路行MV手术。然后比较治疗效果和并发症。
结果
两组在各方面均相似，但术后27小时使用镇痛药的患者百分比不同（腹股沟组为57.6%，腹股沟下组为37.5%；p<0.05）。腹股沟组自然受孕率为33.9%，腹股沟下组为30.4%。两组术后精液参数的中位数均有显著改善。
结论
两种入路都是治疗不育男性精索静脉曲张的有效方法，但腹股沟组术后第一天可能需要更多的镇痛药。
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