腹腔镜高位结扎与介入栓塞治疗精索静脉曲张的临床对比观察  

Evaluation on the clinic results of laparoscopic varicocele ligation and embolism of varicocele

作　　者：姜宁[1] 马杰[1] 王国增[1] 赵玉隆 石泉[1] 贺伟[1] 章景[1] 郑景存[1] 李健[1] 顾燕[1] 朱江宁 

机构地区：[1]上海市浦东新区公利医院泌尿外科,上海200135 [2]宁夏石嘴山市一院

出　　处：《中国男科学杂志》2008年第5期45-48,共4页Chinese Journal of Andrology

摘　　要：目的通过腹腔镜高位结扎与介入栓塞治疗精索静脉曲张的临床对比,探讨两者之间的优劣性。方法221例患者随机分为两组,腹腔镜高位结扎组112例,介入栓塞组109例,随访3年,分别就治疗过程、手术效果、并发症等方面进行比较。结果两组病例在对比观察项目的依从性、手术时间、止痛剂使用、症状近期缓解程度4方面无显著性差异,在住院时间和并发症方面有差异性(P<0.05),而在围手术时间、失败率、总费用有显著性差异(P<0.01)。结论综合比较,精索静脉曲张介入栓塞术优于腹腔镜精索静脉高位结扎术。Objective To compare the effect of laparoscopic varicocele ligation with that of embolism on varicocele. Methods 221 cases were divided into two groups, laparoscopic varicocele ligation group （112 cases） and embolism of varicocele group （109 cases）. All the patients they were followed up for three years post operation. The treatment procedure, operation effect and complications ect were compared between two groups. Results There was no statistic difference in operation times, the use of analgesics and short-term relief of the symptoms between two groups. But the days staying in the hospital and complications were different, the mortality and expense were significant different. Conclusion Embolism of varicocele was better than laparoscopic varicocele ligation in the treatment of varicocele.

关 键 词：精索静脉曲张/外科学 腹腔镜检查 

分 类 号：R697.24[医药卫生—泌尿科学]