中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
26期
221-222
,共2页
精索静脉曲张%腹腔镜%腹膜后%手术
精索靜脈麯張%腹腔鏡%腹膜後%手術
정색정맥곡장%복강경%복막후%수술
Varicocele%Laparoscope%Retroperitoneal%Surgery
目的:探讨腹腔镜下精索静脉高位结扎和开放手术腹膜后高位结扎两种方式治疗精索静脉曲张的疗效分析。方法回顾分析12例腹腔镜治疗精索静脉曲张的病例和15例开放手术经腹膜后高位结扎治疗精索静脉曲张的病例。结果两组手术时间均在30~40 min,术后住院1~3 d 出院,无明显差异。开放组有1例术后5个月复发,经二次腹腔镜处理后治愈。结论单纯一侧或者首发的精索静脉曲张患者,行开放手术和腹腔镜手术临床无明显差异。但是对于二次复发或者双侧同时发病的病例,腹腔镜精索静脉治疗手术作为微创手术,可以作为患者的首选术式,安全可行,操作简单,是治疗此类患者的最佳方法。
目的:探討腹腔鏡下精索靜脈高位結扎和開放手術腹膜後高位結扎兩種方式治療精索靜脈麯張的療效分析。方法迴顧分析12例腹腔鏡治療精索靜脈麯張的病例和15例開放手術經腹膜後高位結扎治療精索靜脈麯張的病例。結果兩組手術時間均在30~40 min,術後住院1~3 d 齣院,無明顯差異。開放組有1例術後5箇月複髮,經二次腹腔鏡處理後治愈。結論單純一側或者首髮的精索靜脈麯張患者,行開放手術和腹腔鏡手術臨床無明顯差異。但是對于二次複髮或者雙側同時髮病的病例,腹腔鏡精索靜脈治療手術作為微創手術,可以作為患者的首選術式,安全可行,操作簡單,是治療此類患者的最佳方法。
목적:탐토복강경하정색정맥고위결찰화개방수술복막후고위결찰량충방식치료정색정맥곡장적료효분석。방법회고분석12례복강경치료정색정맥곡장적병례화15례개방수술경복막후고위결찰치료정색정맥곡장적병례。결과량조수술시간균재30~40 min,술후주원1~3 d 출원,무명현차이。개방조유1례술후5개월복발,경이차복강경처리후치유。결론단순일측혹자수발적정색정맥곡장환자,행개방수술화복강경수술림상무명현차이。단시대우이차복발혹자쌍측동시발병적병례,복강경정색정맥치료수술작위미창수술,가이작위환자적수선술식,안전가행,조작간단,시치료차류환자적최가방법。
Objective To study the laparoscopic retroperitoneal spermatic vein high ligation and open surgery treatment of varicocele high ligation two ways the curative effect analysis. Methods retrospective analysis of 12 cases of laparoscopic treatment of varicocele and 15 cases of open surgery after peritoneal high cases of varicocele ligation treatment. Results Two groups of operation time in 30-40 minutes, and was discharged on hospital day 1-3, no obvious difference. Open group one postoperative relapse, five months after secondary laparoscopic treatment to cure. Conclusion Pure side or start of varicocele patients, line open surgery and laparoscopic surgery clinical has no obvious difference. But for the second recurrence or bilateral cases of the disease at the same time, the treatment of laparoscopic spermatic vein surgery as a minimally invasive surgery, can be used as the preferred surgical patients, safety, simple operation, is the best way to treat such patients.