摘要
目的探讨经脐单孔三通道腹腔镜与小切口腹膜后精索静脉高位结扎术治疗男性精索静脉曲张(Varico-cele,VC)的疗效优缺点。方法采用经脐单孔三通道腹腔镜治疗患者28例,其中左侧8例,双侧20例。采用小切口腹膜后精索静脉高位结扎术治疗患者30例,其中左侧7例,右侧1例,双侧22例。结果 58例患者全部治愈出院,采用腹腔镜治疗双侧VC在平均手术时间少于开放手术(P<0.05),而在治疗单侧VC两者无统计学意义(P>0.05);采用腹腔镜治疗单双侧VC在平均住院天数和手术时间均优于开放手术(P<0.05)。结论单孔三通道腹腔镜治疗VC疗效肯定、切口小、恢复快,尤其适合于双侧VC患者。
Objective To evaluate the efficacy for therapy of varicocele between high ligation of internal spermatic vein by transumbilical single port laparoscopy and retroperitoneal operation. Methods Used the one-hole method for high ligation of the internal spermatic vein by embryonic natural orifice transumblicial laparoscopy in the treatment of 28 cases of varicoceld, 8 in the left side and 20 in the double sides. Used retroperitoneal high ligation of internal spermatic vein by operation. Results All the operations succeed and no complications developed. The average of the operation time of laparoscopy was less than normal operation in double sides of varicocele but the one side of varicoceld was same.The average of the operation and hospital stay time of laparoscopy were less than normal operation. Conclusion The one-hole method is novel option for high ligation of the internal spermatic vein by embryonic natural orifice transumbilical laparsoscopy in the treatment of varicocele. It is recommendable for its advantages of simple procedure, less pain, few complications,quick recovery, mini-invasiveness and cosmetic acceptability.
出处
《中国现代医药杂志》
2011年第2期13-15,共3页
Modern Medicine Journal of China
关键词
精索静脉曲张
经脐腹腔镜术
精索静脉结扎术
Varicocele Embryonic natural orifice transumbilical laparoscopy Spermatic vein ligation
