中华疝和腹壁外科杂志（电子版）
中華疝和腹壁外科雜誌（電子版）
중화산화복벽외과잡지（전자판）
CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY(ELECTRONIC VERSION)
2014年
4期
316-318
,共3页
田恒宇%刘嘉林%彭启慧
田恆宇%劉嘉林%彭啟慧
전항우%류가림%팽계혜
疝,腹股沟%疝修补术%超声检查,多普勒,彩色%精索%睾丸
疝,腹股溝%疝脩補術%超聲檢查,多普勒,綵色%精索%睪汍
산,복고구%산수보술%초성검사,다보륵,채색%정색%고환
Hernia,inguinal%Herniorrhaphy%Ultrasonography,doppler,color%Spermatic cord%Cryptorchidism
目的：观察腹膜内置网修补法（IPOM）及完全腹膜外疝修补术（TEP）术后对男性患者术侧精索睾丸结构的影响。方法选择2012年1月至2013年10月深圳市人民暨南大学医学院附属二院接受IPOM与TEP的男性单侧腹股沟疝患者，各20例，均为单侧原发腹股沟斜疝。比较术前，术后1、3个月患侧精索睾丸动脉最大血流速（Vmax）、精索静脉曲张程度（轻度/中度/重度）、睾丸体积大小（cm3）。结果术前二组睾丸动脉最大血流速、睾丸体积，二组比较差异无统计学意义；与术前比较，术后1、3个月二组睾丸动脉最大血流速、睾丸体积差异无统计学意义。术前二组各有1例轻度精索静脉曲张，术后1个月TEP组新增1例轻度精索静脉曲张病例，术后3个月新增患者缓解。IPOM组手术前后精索静脉曲张情况无变化。结论 IPOM对患者围手术期精索睾丸动脉最大血流速、精索静脉曲张程度以及睾丸体积均无明显影响，TEP对患者睾丸体积围手术期未见影响，对精索睾丸动脉最大血流速及精索静脉回流影响较小，术后3个月可恢复术前水平。
目的：觀察腹膜內置網脩補法（IPOM）及完全腹膜外疝脩補術（TEP）術後對男性患者術側精索睪汍結構的影響。方法選擇2012年1月至2013年10月深圳市人民暨南大學醫學院附屬二院接受IPOM與TEP的男性單側腹股溝疝患者，各20例，均為單側原髮腹股溝斜疝。比較術前，術後1、3箇月患側精索睪汍動脈最大血流速（Vmax）、精索靜脈麯張程度（輕度/中度/重度）、睪汍體積大小（cm3）。結果術前二組睪汍動脈最大血流速、睪汍體積，二組比較差異無統計學意義；與術前比較，術後1、3箇月二組睪汍動脈最大血流速、睪汍體積差異無統計學意義。術前二組各有1例輕度精索靜脈麯張，術後1箇月TEP組新增1例輕度精索靜脈麯張病例，術後3箇月新增患者緩解。IPOM組手術前後精索靜脈麯張情況無變化。結論 IPOM對患者圍手術期精索睪汍動脈最大血流速、精索靜脈麯張程度以及睪汍體積均無明顯影響，TEP對患者睪汍體積圍手術期未見影響，對精索睪汍動脈最大血流速及精索靜脈迴流影響較小，術後3箇月可恢複術前水平。
목적：관찰복막내치망수보법（IPOM）급완전복막외산수보술（TEP）술후대남성환자술측정색고환결구적영향。방법선택2012년1월지2013년10월심수시인민기남대학의학원부속이원접수IPOM여TEP적남성단측복고구산환자，각20례，균위단측원발복고구사산。비교술전，술후1、3개월환측정색고환동맥최대혈류속（Vmax）、정색정맥곡장정도（경도/중도/중도）、고환체적대소（cm3）。결과술전이조고환동맥최대혈류속、고환체적，이조비교차이무통계학의의；여술전비교，술후1、3개월이조고환동맥최대혈류속、고환체적차이무통계학의의。술전이조각유1례경도정색정맥곡장，술후1개월TEP조신증1례경도정색정맥곡장병례，술후3개월신증환자완해。IPOM조수술전후정색정맥곡장정황무변화。결론 IPOM대환자위수술기정색고환동맥최대혈류속、정색정맥곡장정도이급고환체적균무명현영향，TEP대환자고환체적위수술기미견영향，대정색고환동맥최대혈류속급정색정맥회류영향교소，술후3개월가회복술전수평。
Objective To evaluate the effects of IPOM and TEP repair to the spermatic cord structure and testicle in male inguinal patients.Methods A total of 40 male patients with primary unilateral inguinal hernia who underwent IPOM and TEP repair in Shenzhen People′s Hospital (20 cases in each group),from January 201 2 to October 201 3,were enrolled in this study.With Doppler,spermatic and testicular parametersin operative side,were evaluated preoperatively and at 1 month,3 months after the operation,and noted as theartery maximum flow velocity (Vmax),degree of varicocele (mild/moderate/severe),and testicular volume (cm3 ).Results There were no significant differences between two groups preoperatively,comparing artery flow velocity,degree of varicocele and testicular volume.When compared with perioperative Vmax and testicularvolume,the values at 1 month or 3 months after surgery were not different between the groups.Each group had a case of mild varicocele before surgery,while a new varicocele was found in Group TEP at 1 month after the operation,then it was improved at 3 months.No changes of varicecele cases in Group IPOM were found.Conclusions The maximum flow velocity of testicular artery, degree of varicocele and testicularvolume demonstrated no changes in patients underwent IPOM.But the Vmax and spermatic vein reflux are lightly impacted by TEP,then recovered to peroperative level at 3 months after surgery.
