检索规则说明:AND代表“并且”;OR代表“或者”;NOT代表“不包含”;(注意必须大写,运算符两边需空一格)
检 索 范 例 :范例一: (K=图书馆学 OR K=情报学) AND A=范并思 范例二:J=计算机应用与软件 AND (U=C++ OR U=Basic) NOT M=Visual
作 者:李彦锋[1] 孙中义[1] 吴刚[1] 梁培乐[1] 张勇[1] 周波[1] 王洛夫[1] 靳风烁[1]
机构地区:[1]第三军医大学大坪医院野战外科研究所泌尿外科,重庆400042
出 处:《第三军医大学学报》2010年第24期2647-2649,共3页Journal of Third Military Medical University
摘 要:目的寻求治疗精索静脉曲张的微创新技术并对经脐单孔腹腔镜下精索内静脉高位结扎术的临床经验进行总结。方法回顾分析我院2009年1月至2010年6月采用经脐单孔双通道法(双Trocar法),进行腹腔镜下精索内静脉高位结扎术治疗的46例精索静脉曲张患者的临床资料。结果 46例患者均为Ⅱ~Ⅲ度精索静脉曲张,年龄15~29岁,平均21.5岁;病史6个月至8年,平均2.5年;左侧42例,双侧4例;手术均采用精索血管集束结扎方式顺利完成,手术时间15~40 min,平均21 min;出血量0~5 ml;住院时间2~5 d,平均3.5 d;随访2~18个月,无静脉曲张复发、阴囊水肿,无睾丸萎缩等远期并发症。结论经脐单孔腹腔镜下精索内静脉高位结扎术安全快捷、创伤小、并发症少、恢复快、腹壁不留疤痕,是治疗精索静脉曲张的微创新术式,宜于推广使用。Objective To summarize our experience on a novel modified trans-umbilical laparoendoscopic single-site technique for varicocelectomy in the treatment of varicocele and analyze the clinical value of this approach.Methods A novel modified trans-umbilical laparoendoscopic single-site technique with double trocar while without any access platform which has several channels for instrumentation was created and performed for varicocelectomy in 46 varicocele patients(mean age,21.5,ranging from 15 to 29;course of disease,2.5 years,ranging from 0.5 to 8 years) who admitted in our department from January 2009 to June 2010.The clinical data of these patients that underwent varicocelectomy by this modified technique were analyzed retrospectively.Results Among these 46 patients,42 had varicocele on the left side,and 4 on both sides.The mean operation duration was 21 min,from 15 to 40 min.The mean blood loss was less than 5 ml and the mean hospital stay was 3.5 d,ranging from 2 to 5 d.All the operations were successful,and no recurrence or complication was found during the follow-up period for 2 to 18 months.Conclusion Our novel modified laparoendoscopic single-site varicocelectomy is a safe,reliable,time-saving,and minimally invasive technique.It is recommended for more wildly application because it is easy to be accepted,and with quick recovery and no scars virtually.
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在链接到云南高校图书馆文献保障联盟下载...
云南高校图书馆联盟文献共享服务平台 版权所有©
您的IP:216.73.216.15