中国卫生标准管理
中國衛生標準管理
중국위생표준관리
China Health Standard Management
2015年
23期
53-54
,共2页
高江涛%景治安%刘彦军%冯占启%吴辉
高江濤%景治安%劉彥軍%馮佔啟%吳輝
고강도%경치안%류언군%풍점계%오휘
精索静脉曲张%腹腔镜手术%显微外科%手术并发症
精索靜脈麯張%腹腔鏡手術%顯微外科%手術併髮癥
정색정맥곡장%복강경수술%현미외과%수술병발증
Varicocele%Microsurgical varicocelectomy%Laparoscopic varicocelectomy%Operation complication
目的：比较显微外科和腹腔镜下精索静脉结扎手术治疗原发性精索静脉曲张效果。方法将88例原发性精索静脉曲张患者根据手术方式随机分为2组：腹腔镜下精索静脉高位结扎组（腹腔镜组）43例；显微镜下精索静脉结扎组（显微镜组）45例，术后随访6月，分析手术近期效果及并发症。结果腹腔镜组、显微镜组2组手术时间、精液质量改善率、睾丸鞘膜积液发生率及术后复发率均有差异。结论显微镜下经腹股沟外环口精索静脉结扎术疗效好，并发症少。
目的：比較顯微外科和腹腔鏡下精索靜脈結扎手術治療原髮性精索靜脈麯張效果。方法將88例原髮性精索靜脈麯張患者根據手術方式隨機分為2組：腹腔鏡下精索靜脈高位結扎組（腹腔鏡組）43例；顯微鏡下精索靜脈結扎組（顯微鏡組）45例，術後隨訪6月，分析手術近期效果及併髮癥。結果腹腔鏡組、顯微鏡組2組手術時間、精液質量改善率、睪汍鞘膜積液髮生率及術後複髮率均有差異。結論顯微鏡下經腹股溝外環口精索靜脈結扎術療效好，併髮癥少。
목적：비교현미외과화복강경하정색정맥결찰수술치료원발성정색정맥곡장효과。방법장88례원발성정색정맥곡장환자근거수술방식수궤분위2조：복강경하정색정맥고위결찰조（복강경조）43례；현미경하정색정맥결찰조（현미경조）45례，술후수방6월，분석수술근기효과급병발증。결과복강경조、현미경조2조수술시간、정액질량개선솔、고환초막적액발생솔급술후복발솔균유차이。결론현미경하경복고구외배구정색정맥결찰술료효호，병발증소。
Objective To compare the therapeutic efect microsurgical varicocelectomy and laparoscopic methods in the treatment of primary varicocele.Methods88 patients were randomly divided into laparoscopic varicocelectomy and microsurgical varicocelectomy according to the operative methods.After 6 months Therapeutic efects and complications of two groups were analyzed.ResultsThere were significant diferences in operating time,the improved quality of semen,the incidences of testicular hydrocele and the recurrence rate of varicocele.ConclusionMicrosurgical varicocelectomy is worthy of clinical application except longer operation time.
