摘要
目的比较腹腔镜手术和腹膜后开放手术治疗精索静脉曲张临床效果及优缺点。方法精索静脉曲张患者144例,随机分为两组,分别接受开放式腹膜后精索静脉高位结扎术(开放组,n=76例)、腹腔镜下精索静脉高位结扎术(腹腔镜组,n=68例)治疗,分析两组手术操作要点,对两组术中、术后相关情况进行比较。结果腹腔镜组在手术时间、术中失血量、精索内动脉游离率、术后住院时间等明显优于开放组,尽管开放组住院费用低于腹腔镜组,但如加上相关费用形成的总费用,二者则无统计学意义(P>0.05)。结论腹腔镜下精索静脉高位结扎术是治疗精索静脉曲张的有效方法,值得推荐。
Objective To compare the merits and demerits of two approaches of ligation for the treatment of varicocele.Methods 144 man with unilateral varicocele were prospectively randomized to undergo open（group 1,n=76）,transperitoneoscopic（group 2,n=68）varicocelectomy. The effectiveness,complications,and technical aspects of the two approaches were compared and discussed.Results All operations were performed successfully.Significant difference was found between open and laparoscopic approaches in terms of duration of surgery,spermatic cord inside arteries dissociation rate,blood loss and postoperative recovering time.Laparoscopic approaches is better than open.Though opening group hospital expenses under laparoscopic groups,but if plus related expenses,both the total cost of form is not statistically significant difference（P0.05）.Conclusion Transperitoneoscopic varicocelectomy are effective and safe for the treatment of varicocele,while is better for the patient.
出处
《当代医学》
2010年第25期68-69,共2页
Contemporary Medicine
关键词
精索静脉曲张
手术
腹腔镜
Varicocele
Surgical treatment
Laparoscopy
