微手术静脉动脉切除术与腹腔镜手术对比于静脉动脉的栓塞:一个回顾性成本效益分析
Jianjia Wang1, He Jiang2, Jianhua Lan3,4
1Department of Urology, Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China.
BMC urology
|February 8, 2026
概括
微手术静脉动脉切除术为精子运动提供了更好的短期结果,并且比对男性不育的腹腔镜手术更具成本效益. 由于数据有限,栓塞结果需要进一步研究.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 生殖医学 生殖医学
- 卫生经济学 卫生经济学
背景情况:
- 静脉是男性不孕症的主要原因之一.
- 现有的手术和干预治疗方法缺乏全面的成本效益研究.
- 这项研究比较了微手术和腹腔镜静脉瘤切除术的结果和成本.
研究的目的:
- 为了比较微手术和腹腔镜静脉瘤切除术的短期临床结果和成本效益.
- 分析精液参数和手术成本的改善情况.
- 提供数据,以便在治疗瘤时做出明智的治疗决策.
主要方法:
- 对113名静脉患者的回顾性分析 (微手术n=42,栓塞n=8,腹腔镜n=63).
- 术前和术后精子度的比较,前进的精子百分比 (PR%) 和精子静脉直径.
- 使用基于住院费用和精液参数改进的成本效益比率 (CER) 的成本效益分析.
主要成果:
- 所有手术均成功,所有组的术后情况均有显著改善 (P<0.05).
- 微手术静脉切除术显示,与腹腔镜相比,PR%的改善显著更大 (P<0.05).
- 显微手术表现出优越的成本效益,精子度和PR%改善的最低CER.
结论:
- 微手术静脉动脉切除术提供精子运动率 (PR%) 和成本效益的优越短期改善,而不是腹腔镜静脉动脉切除术.
- 由于样本规模较小,栓塞结果是初步的,需要谨慎解释.
- 建议进行更多的多中心研究,使用更大的队列和更长的随访时间.
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