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显微外科手术与腹腔镜手术治疗精索静脉曲张的效果比较 被引量:4

Comparison on the effect of microsurgery and laparoscopic surgery in the treatment of varicocele
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摘要 目的 比较显微外科手术与腹腔镜手术治疗精索静脉曲张(VC)的效果。方法 90例精索静脉曲张患者,随机分成参照组和观察组,各45例。参照组采用腹腔镜手术治疗,观察组采用显微外科手术治疗。比较两组患者的手术时间、排气时间、住院时间、并发症发生情况。结果 观察组患者的手术时间(50.53±20.51)min长于参照组的(42.02±16.34)min,排气时间(23.55±9.81)h、住院时间(6.23±2.40)d短于参照组的(39.76±11.42)h、(7.67±3.45)d,差异具有统计学意义(P<0.05)。观察组患者的并发症发生率为4.44%,低于参照组的22.22%,差异具有统计学意义(P<0.05)。结论 精索静脉曲张患者采用显微外科手术治疗,不仅可以降低患者的并发症发生率,还可以缩短患者的排气时间、住院时间,效果明显。 Objective To compare the effect of microsurgery and laparoscopic surgery in the treatment of varicocele(VC).Methods A total of 90 patients with varicocele were randomly divided into reference group and observation group,with 45 cases in each group.The reference group was treated with laparoscopic surgery,and the observation group was treated with microsurgery.Patients in both groups were compared in terms of operation time,exhaust time,hospitalization time,and complications.Results The operation time(50.53±20.51)min of the observation group was longer than(42.02±16.34)min of the reference group,and the exhaust time(23.55±9.81)h and hospitalization time(6.23±2.40)d were shorter than(39.76±11.42)h and(7.67±3.45)d of the reference group.All the differences were statistically significant(P<0.05).The complication rate of the observation group was 4.44%,which was lower than 22.22%of the reference group,and the difference was statistically significant(P<0.05).Conclusion Microsurgery has obvious effect on patients with varicocele,and it can not only reduce the complication rate,but also shorter the exhaust time and hospitalization time.
作者 王阳 WANG Yang(Department of Urology,Chaoyang Central Hospital,Chaoyang 122000,China)
出处 《中国实用医药》 2021年第28期52-55,共4页 China Practical Medicine
关键词 显微外科手术 腹腔镜手术 精索静脉曲张 Microsurgery Laparoscopic surgery Varicocele
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