精索静脉曲张113例两种术式疗效的对比研究  

The comparative study of two kinds of surgical approach in treatment of varicocele: with a report of 113 cases

作　　者：王玺坤[1] 罗力[1] 李文雄[1] 李峻[1] 王森[1] 高炜城[1] 

机构地区：[1]广东药学院附属第一医院泌尿外科,广东广州510080

出　　处：《现代泌尿外科杂志》2011年第4期336-338,共3页Journal of Modern Urology

摘　　要：目的比较腹腔镜手术及开放手术治疗精索静脉曲张的疗效。方法回顾性分析同期本科113例精索静脉曲张患者的临床资料,比较对单、双侧病变选择手术方式的差异性、手术操作时间、术后住院时间,随访症状及精液性状改善情况等。结果两组手术操作时间比较无统计学意义(P>0.05),随访症状均有改善;腹腔镜手术组术后住院时间明显少于开放手术组,差异有统计学意义(P<0.05);单、双侧患者在选择术式的病例数差异有统计学意义(P<0.05);精液密度、精子活动力及活力等比较均无显著性差异(P>0.05)。结论腹腔镜手术治疗精索静脉曲张是一种安全、有效的术式,患者康复快、术后住院时间短、不易复发、创伤小等,较开放手术有一定的优越性,但与开放手术组精液改善的比较无显著优势。Objective To compare the therapeutic effect of laparoscopic operation and open surgery in treatment of varicocele. Methods The effect of 113 patients with varicocele was retrospectively summarized. 55 cases were in laparoscopic group and 58 cases were in open group. The choice of two surgical approach , operating time, postoperative in patient time, the improve of syndrom and sperm in 2 groups were compared. Results The operating time showed no statistically significant difference between the two groups （P^0.05）. The symptom of the two groups were all disappear or got better . The postoperative in-patient time in laparoscopic group was much less than that of the other group, the difference between the two groups was significant（P（0.05）. The choice of surgical approach in unilateral and hibateral has significant difference（P（0.05）. The improve of sperm of the two groups had no significant difference （P 〉 0.05）. Conclusions Laparoseopic operation is safe,effective, recover rapidly and has a higher price versus performance ratio in treating varicocele, but had no superiority in improving the sperm.

关 键 词：精索静脉曲张 开放手术 腹腔镜 

分 类 号：R737.25[医药卫生—肿瘤]