摘要
目的观察腹腔镜腹股沟疝修补术对睾丸体积和血流灌注的影响,评估腹腔镜腹股沟疝修补术疗效及安全性。方法 2013年1月至2015年12月,在医院收集行腹腔镜腹股沟疝修补术的患者,共获得40例。对照术前、术后3个月、术后6个月患者患侧睾丸体积(TV)、血浆睾酮水平;对比术前及术后不同时间患侧睾丸包膜动脉(CA)、睾丸动脉(TA)、睾丸内动脉(ITA)血流参数,即血管阻力指数(RI)、舒张末期血液流速(EDV)、收缩期峰值血液流速(PSV);记录并发症发生情况及复发例数。结果与术前相比,术后3个月、6个月患侧睾丸体积、血浆睾酮水平均无明显变化(P>0.05)。术后3个月、6个月患者睾丸包膜动脉、睾丸动脉、睾丸内动脉的EDV、RI水平与术前比较均有显著改善(P<0.05)。本组共发生6例并发症(15.00%),无1例复发。结论腹腔镜腹股沟疝修补术具有以下优势:对患侧睾丸体积、血浆睾酮水平无显著影响;有助于改善患侧睾丸血流灌注,利于康复;术后并发症少,无复发。
Objective To analyze the influence of laparoscopic inguinal hernia repair on testicular volume and blood flow and the rates of complications and recurrence in order to assess the efficacy and safety of laparoscopic inguinal hernia repair.Methods A total of 40 cases received laparascopic inguinal hernia repair in this hospital during January 2013 to December 2015 were collected.The ipsilateral testicular volume（TV） and plasma level of testosterone were compared before and 3 months and 6 months after surgery in different periods,and blood flow parame-ters of ipsilateral testicular capsule artery（ CA）,testicular artery（ TA）,intratesticular artery（ ITA） including vascular resistance index（ RI）,end- diastolic blood flow velocity（ EDV） and peak systolic blood velocity（ PSV） were also recorded and compared. The number of recorded cases and recurrent cases with complications were also recorded. Results The ipsilateral testicular volume and plasma levels of testosterone at 3 and 6months after the operation did not change significantly（ P〉0. 05）. Levels of EDV and RI of the testicular envelope artery,testicular artery and intratesticular artery of patients at 3 and 6 months after the operation were significantly different with those before operation（ P〈0. 05）. A total of six cases in this group had complications（ 15. 00%）. There was no recurrence. Conclusion Laparoscopic inguinal hernia repair has the following advantages： there is no significant impact on the ipsilateral testicular volume and serum level of testosterone; and it may help to improve ipsilateral testicular perfusion,and it is beneficial to rehabilitation with fewer complications and no recurrence.
出处
《临床和实验医学杂志》
2016年第24期2472-2475,共4页
Journal of Clinical and Experimental Medicine
关键词
腹腔镜腹股沟疝修补术
睾丸体积
血流灌注
血浆睾酮
Laparoscopic inguinal hernia repair
Testicular volume
Perfusion
Plasma testosterone
