摘要
目的观察腹腔镜手术治疗精索静脉曲张的临床疗效。方法回顾分析笔者所在科室2006～2009年收治的20例精索静脉曲张患儿，分析项目包括就诊症状、静脉曲张分度、睾丸萎缩情况、平均住院时间、手术并发症、复发率。平均随访15个月。结果惠儿就诊年龄11～15岁，平均12．5岁，均为左侧精索静脉曲张，曲张程度均为Ⅲ度，所有患儿均行腹腔镜曲张静脉切除术，手术时间30～90min，平均45min，平均术后住院3d。随访均无术侧精索肿痛、附睾炎、睾丸萎缩及精索静脉曲张复发。结论腹腔镜损伤小，且通过光学放大作用能提供快速的手术径路，因此腹腔镜曲张静脉切除术治疗精索静脉曲张是一种安全有效的方法。
Objective To observe the effect of peritoneoscopy for treatment of varicocele. Methods From 2006 to 2009, 20 boys diagnosed as having varicocele were evaluated retrospectively. Outcome variables recorded for analysis were age at symptoms, varicocele grade （DubineAmelar classification）, testicular atrophy, and length of hospital stay, perioperative complications, and recurrence after surgery. Mean follow up was 15 months. Results Age at diagnosis ranged between 11 and 15 years. Mean age at operation was 12.5 years. There were both left - side varicocelcs （ 100% ）. All patients had grade Ⅲ varicoccle. All boys underwent varicocelcctomy of the spermatic vessels. Mean operative time was 45 rain （30 to 90 min）. None of them has testicular atrophy after operation. Median hospital stay was 3 days. All the operations succeeded and none had complication. Conclusion Laparoscopy affords a minimally invasive and quick surgical approach with optical magnification. Varicocelectomy under laparoscopy is safe and effective for treatment of varicocele.
出处
《中外医学研究》
2010年第30期17-18,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
