关键词: 不育症, 精索静脉曲张, 显微技术

Abstract: Objective To evaluate the clinic effect of microsurgical and laparoscopic varicocelectomy in treatment of varicocele. Methods 129 patients with varicocele and infertility are included assign to two group，Group A（n=65）and Group B（n=64）. The patients in Group A received microsurgical varicocelectomy and those in Group B underwent laparoscopic varicocelectomy. The clinical effects were compared between two groups. Results The operation was completed normally in both groups without postoperative complications. The operation time of bilateral varicocelectomy in Group A was longer than that of Group B（P<0.05）. 129 patients were followed up 3 months after operation：Improvement of sperm motility in 84 cases （increase over 20%） including 45 case（45/65） in Group A and 39 case （39/63）in Group B（P>0.05）. 107 cases got 6 months follow-up：Improvement of sperm motility in 21 cases （comparison with the last result is increased by more than 20%） including 17 case（17/52） in Group A and 5（5/55）in Group B（P<0.05）. The data of 12-months follow-up after the operation were close to that of June. Conclusion In this article，microsurgical varicocelectomy approach was superior to laparoscopy varicocelectomy in postoperative curative effect.

Key words: infertility, varicocele microscopy