国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2012年
10期
683-685
,共3页
精索静脉曲张%腹腔镜%疗效比较研究%精索血管集束高位结扎术
精索靜脈麯張%腹腔鏡%療效比較研究%精索血管集束高位結扎術
정색정맥곡장%복강경%료효비교연구%정색혈관집속고위결찰술
Varicocele%Laparoseopes%Comparative effectiveness research%Laparoscopic ligation of spermatic vessel cluster
目的 比较腹腔镜和开放手术集束或单纯结扎精索内静脉治疗原发性精索静脉曲张的疗效.方法 将2007年6月-2011年10月济宁市第一人民医院泌尿外科收治的120例精索静脉曲张患者分为4组,每组30例,观察并比较4组患者的疗效.结果 4组手术均获成功,无并发症发生.腹腔镜组平均住院时间显著短于开放手术组(P<0.05).4组术后6个月精液质量明显改善,差异有统汁学意义(P<0.05);组间比较差异无明显统计学意义(P>0.05).随访0.5~1年,失防9例,随访率为92.5%,患者均无睾丸萎缩等远期并发症发生.结论 腹腔镜精索内血管集束高位结扎术治疗精索静脉曲张疗效确切,为治疗精索静脉曲张提供了一种可供选择的方法.
目的 比較腹腔鏡和開放手術集束或單純結扎精索內靜脈治療原髮性精索靜脈麯張的療效.方法 將2007年6月-2011年10月濟寧市第一人民醫院泌尿外科收治的120例精索靜脈麯張患者分為4組,每組30例,觀察併比較4組患者的療效.結果 4組手術均穫成功,無併髮癥髮生.腹腔鏡組平均住院時間顯著短于開放手術組(P<0.05).4組術後6箇月精液質量明顯改善,差異有統汁學意義(P<0.05);組間比較差異無明顯統計學意義(P>0.05).隨訪0.5~1年,失防9例,隨訪率為92.5%,患者均無睪汍萎縮等遠期併髮癥髮生.結論 腹腔鏡精索內血管集束高位結扎術治療精索靜脈麯張療效確切,為治療精索靜脈麯張提供瞭一種可供選擇的方法.
목적 비교복강경화개방수술집속혹단순결찰정색내정맥치료원발성정색정맥곡장적료효.방법 장2007년6월-2011년10월제저시제일인민의원비뇨외과수치적120례정색정맥곡장환자분위4조,매조30례,관찰병비교4조환자적료효.결과 4조수술균획성공,무병발증발생.복강경조평균주원시간현저단우개방수술조(P<0.05).4조술후6개월정액질량명현개선,차이유통즙학의의(P<0.05);조간비교차이무명현통계학의의(P>0.05).수방0.5~1년,실방9례,수방솔위92.5%,환자균무고환위축등원기병발증발생.결론 복강경정색내혈관집속고위결찰술치료정색정맥곡장료효학절,위치료정색정맥곡장제공료일충가공선택적방법.
Objective To compare the effects of laparoscopy and open surgery of ligation of spermatic vessel cluster or internal spermatic vein for the treatment of varicocele.Methods By using randomized controlled trial,120 cases with varicocele who stayed and were treated in our hospital were divided into 4 groups(30 cases every group) from Jun.2007 to Oct.2011.The efficacy of 4 groups was observed and compared.Results Four operations were performed successfully.Laparoscopy approached less than open surgery in terms of the days of stay in hospital (P < 0.05).The quality of semen in four groups was all increased by comparing spermatozoa density,motility rate before and after operation(P < 0.05),but no difference was found among four groups (P > 0.05).In 0.5-1 year follow-up,follow-up rate was 92.5%,without atrophy of testes.Conclusion The operation of laparoscopic spermatie vessel cluster ligation in patients with varicoceh has the advantage of confirmed effect,which is an alternative operative method of treatment for patients with varicocele.