CAJ | 학술논문

目的：探讨单孔与传统腹腔镜手术治疗原发精索静脉曲张的临床效果。方法回顾性分析24例单孔腹腔镜手术治疗原发性精索静脉曲张与78例腹腔镜手术治疗原发性精索静脉曲张临床资料，观察两种术式的手术时间、术中出血量、术后胃肠功能恢复时间、住院时间、住院费用。结果两组患者手术均顺利完成，传统腹腔镜组（A组）手术时间为（62.25±15.32）min，单孔腹腔镜组（B组）手术时间为（90.35±27.17）min，两组患者手术时间差异有统计学意义(P＜0.01)，两组术中出血量[A组（16.35±6.25）mL,B组（15.89±5.75）mL]、术后胃肠功能恢复时间[A组(13.47±4.20)h,B组(15.27±5.75)h]、住院时间[A组(6.89±1.25)d,B组(6.94±1.35)d]、住院费用[A组(7250.84±1254.47)元,B组(7542.25±1124.37)元]，差异无统计学意义(P＞0.05)。结论早期单孔腹腔镜手术治疗原发性精索静脉曲张，手术时间较传统腹腔镜时间长，无明显优势。后期单孔腹腔镜手术熟练后，两者手术时间无明显差异。单孔腹腔镜手术较传统腹腔镜就安全有效、创伤小、康复快等优点无差异性，但单孔腹腔镜手术术后美容效果更好。
목적：탐토단공여전통복강경수술치료원발정색정맥곡장적림상효과。방법회고성분석24례단공복강경수술치료원발성정색정맥곡장여78례복강경수술치료원발성정색정맥곡장림상자료，관찰량충술식적수술시간、술중출혈량、술후위장공능회복시간、주원시간、주원비용。결과량조환자수술균순리완성，전통복강경조（A조）수술시간위（62.25±15.32）min，단공복강경조（B조）수술시간위（90.35±27.17）min，량조환자수술시간차이유통계학의의(P＜0.01)，량조술중출혈량[A조（16.35±6.25）mL,B조（15.89±5.75）mL]、술후위장공능회복시간[A조(13.47±4.20)h,B조(15.27±5.75)h]、주원시간[A조(6.89±1.25)d,B조(6.94±1.35)d]、주원비용[A조(7250.84±1254.47)원,B조(7542.25±1124.37)원]，차이무통계학의의(P＞0.05)。결론조기단공복강경수술치료원발성정색정맥곡장，수술시간교전통복강경시간장，무명현우세。후기단공복강경수술숙련후，량자수술시간무명현차이。단공복강경수술교전통복강경취안전유효、창상소、강복쾌등우점무차이성，단단공복강경수술술후미용효과경호。
Objective To discuss the clinical application value of single-hole laparoscopic and traditional laparoscopic in treatment of varicocele.Methods The clinical data of 102 patients with varicocele who underwent laparoscopy were analyzed retrospectively,26 cases underwent single-hole laparoscopy,the others underwent Laparoscopy. Surgical operation time, blood loss, postoperative gastrointestinal function recovery time, hospitalization time, cost of hospitalization were observed. Results All the operations in two groups were completed successfully. There was significant differences in operation time,among the two groups(P<0.01). There were not significant difference in the blood loss, postoperative gastrointestinal function recovery time, hospitalization time, cost of hospitalization.among two groups (P>0.05).Conclusion Early single-port laparoscopic surgery with primary varicocele, operative time longer than traditional laparoscopy, no obvious advantage. Late with single-port laparoscopic surgery skilled, no significant difference between the operation time. Single-port laparoscopic surgery and conventional laparoscopy on safe and effective, less invasive, faster recovery contrast no difference. However, single-port laparoscopic surgery cosmetic surgery is better.