CAJ | 학술논문

目的探讨腹腔镜Palomo手术治疗小儿精索静脉曲张的效果及评估腹腔镜Palomo术后睾丸发育情况.方法小儿精索内静脉结扎术(常规手术组)29例,腹腔镜Palomo手术(腹腔镜组)34例,比较两组手术时间、住院时间、复发率、并发症发生率,评价两组手术疗效.同时腹腔镜组,术前后超声检查测量患侧曲张静脉的最大直径及两侧睾丸大小,观察术后静脉恢复情况及术后睾丸体积变化.采用SPSS13.0软件进行资料统计分析.结果平均住院时间、复发率、并发症发生率,均差异有统计学意义(P＜0.05).手术时间比较差异无统计学意义(P＞0.05).腹腔镜组患侧1个月精索曲张静脉最大直径较术前明显减小(P＜0.01);术后患侧睾丸血液供应无减少;患侧睾丸体积术后增长明显快于健侧,至术后6个月患侧睾丸体积与健侧相仿.结论腹腔镜Palomo手术治疗小儿精索静脉曲张的疗效优于精索内静脉结扎术.该手术方法简单、安全,患侧睾丸术后有一个补偿性生长过程,无睾丸萎缩和发育不良,手术效果满意.
목적 탐토복강경Palomo수술치료소인정색정맥곡장적효과급평고복강경Palomo술후고환발육정황.방법 소인정색내정맥결찰술(상규수술조)29례,복강경Palomo수술(복강경조)34례,비교량조수술시간、주원시간、복발솔、병발증발생솔,평개량조수술료효.동시복강경조,술전후초성검사측량환측곡장정맥적최대직경급량측고환대소,관찰술후정맥회복정황급술후고환체적변화.채용SPSS13.0연건진행자료통계분석.결과 평균주원시간、복발솔、병발증발생솔,균차이유통계학의의(P＜0.05).수술시간비교차이무통계학의의(P＞0.05).복강경조환측1개월정색곡장정맥최대직경교술전명현감소(P＜0.01);술후환측고환혈액공응무감소;환측고환체적술후증장명현쾌우건측,지술후6개월환측고환체적여건측상방.결론 복강경Palomo수술치료소인정색정맥곡장적료효우우정색내정맥결찰술.해수술방법간단、안전,환측고환술후유일개보상성생장과정,무고환위축화발육불량,수술효과만의.
Objective To evaluate the curative effect of laparoscopic Palomo operation compared with open inguinal varicocelectomy in children with varicocele, and testis development after treatment. Methods Data of 63 boys with varicocele were reviewed. The control group(n = 29) was underwent open inguinal varicocelectomy,the lap-aroscopy group(n =34) was underwent laparoscopic Palomo operation. The operation time,hospital stay,recurrence rate,and complications rate were compared between two groups. The boys in larparoscopy group were examined the diameter of spermatic vein and testicular volume before and after operation by ultrasound. All data were analyzed by SPSS 13.0 software. Results The hospital stays and recurrence rates and complications rates were significantly different between two groups (P < 0.05 ) , but the operation time in two groups had no statisticd difference (P > 0. 05 ). The diameters of spermatic vein in larparoscopy group were decreased significantly after operation (P < 0.01). The blood supply for testis didnt decrease after operation,the operative lateral testicular volume grew faster than the contra lateral,and reached almost the same volume. Conclusions Laparoscopic Paloma varicoelectomy was safe and simple, brings a better effect for children with varicocele than open inguinal varicocelectomy does. The operative lateral testis would a postoperative compensatory growth,no testis atrophy or hypogonadism occurs.