CAJ | 학술논문

目的探讨治疗精索静脉曲张的最佳方法.方法回顾性分析腹膜后小切口法和腹腔镜法手术治疗精索静脉曲张患者的临床效果,比较两种治疗方法的手术时间、术后住院时间及住院费用.结果 158例患者中,单、双侧精索静脉曲张患者腔镜组和手术组在手术时间方面差异无统计学意义(P>0.05),在术后住院时间及住院费用方面差异有统计学意义(P<0.05).结论双侧精索静脉曲张同时结扎时,腹腔镜下精索静脉高位结扎术是一种非常好的选择;若只做一侧精索静脉曲张高位结扎或无条件、不适宜做腹腔镜手术的患者,则用腹膜后小切口精索静脉曲张高位结扎术是一种很好的手术方法.
목적 탐토치료정색정맥곡장적최가방법.방법 회고성분석복막후소절구법화복강경법수술치료정색정맥곡장환자적림상효과,비교량충치료방법적수술시간、술후주원시간급주원비용.결과 158례환자중,단、쌍측정색정맥곡장환자강경조화수술조재수술시간방면차이무통계학의의(P>0.05),재술후주원시간급주원비용방면차이유통계학의의(P<0.05).결론 쌍측정색정맥곡장동시결찰시,복강경하정색정맥고위결찰술시일충비상호적선택;약지주일측정색정맥곡장고위결찰혹무조건、불괄의주복강경수술적환자,칙용복막후소절구정색정맥곡장고위결찰술시일충흔호적수술방법.
Objective To evaluate the best mean for the treatment of varicocele. Methods The clini-cal effects of the high ligation of spermatic vein under the small incisal opening of the poritneum meta abdom-inal membrane and the ligation of spermatic vein under the laparoscope for the varicocele were retrospectively reviewed. The operating time, the postoperative days and the cost of hospitalization were compared of the two methods. Results Comparing with the group of operation and the group of laparoscope. Among the 158 vat-icocele patients with unilateral or bilateral varicocele, there was not statistical difference in the operating time between the two methods (P > 0. 05), whi]e there was significant difference in the postoperative days and the cost of hospitalization(P <0. 05). Conclusions When the bilateral varicoceles were simultaneously ligated, the high ligation of spermatic vein under the laparoscope was the best selection; if the unilateral varicocele was highly ligated or the patients were unconditional or the patients were not fit for laparoscopic operation, the high ligation of spermatic vein under the small incisal opening of peritoneum was the best operating method.