摘要
目的:分析并观察治疗精索静脉曲张的两种手术方法,及其疗效。方法:采用腹腔镜精索静脉高位结扎术135例,开放性腹膜后精索静脉高位结扎术143例。术后随访6～12个月。结果:两组在手术时间上无明显差异。腹腔镜组术后住院时间明显短于开放手术组。两组患者术后恢复快,随访无复发和睾丸萎缩。结论:腹腔镜精索静脉高位结扎术治疗精索静脉曲张,创伤小,恢复快,是一种安全可靠的手术方法,可作为手术治疗精索静脉曲张的首选,对双侧病变尤其适用。
Objective：To analyze and observe the curative effects of high ligation by laparoscopy and retroperitoneal approach for the treatment of varicocele.Methods：Laparoscopic high ligation of spermatic vein was performed in 135 cases and compared with those through open operation of mini-incision approach retroperitonea1 in 143 cases.The patients were followed-up for 6 to 1 2 months.Results：There was no significant difference in operation time between two routes of operation.But the duration of postoperative hospital stay in laparoscopic group was much shorter than that in group undergone open operation of mini-incision.All patients recovered rapidly after operation,no recurrence and atrophy of testis occurred during follow-up.Concl usion：Laparoscopic high ligation of spermatic vein has the advantages of short operative time,less inj ury,quicker rehabilitation and simultaneous treatment of bilateral lesions.It is a safe and reliable operation method that can be regarded as the first choice for treatment of varicocele.Lesion is especially suitable for use to pair of oblique tones varicoceles.
