经脐多通道腹腔镜精索静脉高位结扎术  

Transumbilical Multi-port Laparoscopic Varicocele High Ligation

作　　者：王卫国[1] 刘勇[1] 马鸣[1] 鹿占鹏[1] 

机构地区：[1]济宁医学院附属济宁市第一人民医院泌尿外科,山东济宁272011

出　　处：《泌尿外科杂志（电子版）》2011年第2期15-17,共3页Journal of Urology for Clinicians(Electronic Version)

摘　　要：目的研究经脐多通道腹腔镜在治疗精索静脉曲张中的价值。方法利用微创腹腔镜器械,仅在脐部建立观察和操作通道,行精索内静脉高位结扎术,有28例患者手术,其中左侧精索静脉曲张10例,双侧精索静脉18例,并与传统多部位多通道腹腔下精索内静脉高位结扎术进行比研究。结果所有病例手术均成功,经脐多通道腹腔镜手术组每一侧精索内静脉分离并结扎时间平均为15.13±1.94分钟,传统腹腔镜手术组每一侧精索静脉分离并结扎时间平均为10.12±1.66分钟,P=0.33,相比无明显统计学差异。经脐多通道腹腔镜手术组术后有14.29%(4/28)的患者需要药物镇痛,传统腹腔镜组有23.08%(6/26)需要药物镇痛,但两组需要药物镇痛的比率无统计学差异(P=0.63)。结论单经脐腹腔镜下精索内静脉高位结扎术手术切口隐蔽、美观,手术时间延长无统计学意义。Objective To explore the feasibility of treating varicocele by transumbilical multi-port laparoscopic varicocele high ligation.Methods Between March 2010 and March 2011,28 patients underwent transumbilical multi-port laparoscopic varicocele high ligation.10 cases were on left side,18 cases were on both sides.Results The operations were successful in all cases.The mean operation time was 15.13±1.94min in unilateral varicocele.To contrast with traditional laparoscopic varicocele high ligation,the operation time was 10.12±1.66min.There was no statistical difference in the operation time between transumbilical multi-port laparoscopic varicocele high ligation and traditional laparoscopic varicocele high ligation.Conclusions Transumbilical multi-port laparoscopic varicocele high ligation isminimally invasive and effective for varicocele patients.

关 键 词：经脐 腹腔镜 精索静脉曲张 

分 类 号：R699[医药卫生—泌尿科学]