南方医科大学学报

南方医科大学学报 ›› 2013, Vol. 33 ›› Issue (01): 138-.

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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

曾京华，胡卫列，罗汉宏，王鑫，曹建雄，谢俊杰，鲁亦君，彭怡华   

  • 出版日期:2013-01-20 发布日期:2013-01-20

Postoperative complications of microscopic versus Palomo varicocelectomy for varicocele in army personnel

  • Online:2013-01-20 Published:2013-01-20

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摘要： 目的应用显微镜下保留精索动脉、淋巴的精索静脉高位结扎术与传统的Palomo术治疗陆军精索静脉曲张患者，并对两
种术式的术后并发症进行比较。方法选择原发性精索静脉曲张陆军患者260例，根据手术方式随机分为显微镜下经腹股沟途
径高选择性保留精索内动脉、淋巴管的精索静脉高位结扎术组（A组，130例）和传统Palomo术组（B组，130例）。比较两组术后
阴囊水肿、睾丸疼痛、睾丸萎缩、复发等并发症情况。结果经过1 年随访，A、B组术后出现阴囊水肿发生率为3.1%（4/130）、
14.6%（19/130），术后睾丸疼痛缓解率分别为90.7%（118/130）、67.7%（88/130），术后睾丸萎缩发生率分别为0.7%（1/130）、3.1%
（4/130），A、B组间比较差异有统计学意义（P<0.05）；术后复发的发生率分别为5.3%（7/130）、3.8%（5/130），A、B组间比较差异无
统计学意义（P>0.05）。结论原发性精索静脉曲张陆军患者，选择在显微镜下保留精索内动脉、淋巴管的精索静脉高位结扎术，
术后阴囊水肿、睾丸疼痛、睾丸萎缩的发生率明显降低，而术后复发的机会并未增加。

Abstract: Objective To evaluate the postoperative complications of microscopic and conventional Palomo varicoceletomy in
the treatment of varicocele in army personnel. Methods A total of 260 army personnel with varicocele were randomized to
receive microscopic varicocelectomy (group A, n=130) and conventional Palomo varicocelectomy (group B, n=130). The
postoperative recurrence and complications (scrotal edema, testicular pain and testicular atrophy) were compared between the
two groups. Results After 1 year of follow-up, the recurrence rates in groups A and B were statistically comparable (5.3% vs
3.8%, P>0.05). The incidences of testicular atrophy and scrotal edema were significantly lower in group A than in group B (0.7%
vs 3.1%, P<0.05; 3.1% vs 14.6%, P<0.05), and the rate of testicular pain relief was significantly higher in group A (90.7% vs 67.7%,
P<0.05). Conclusion Microscopic varicocelectomy can be a good choice in the treatment of varicocele in army personnel.