腹腔镜和显微镜下精索静脉高位结扎术的疗效比较  

Comparison of curative effect between microscopic and laparoscopic approach in varicocelectomy

作　　者：呙林杰[1,2] 李成龙[3] 熊鹰[1,2] 钟光俊[1,2] 代海涛[1,2] 汪涛[1,2] 潘晖[1,2] 郑江[1,2] 

机构地区：[1]荆州市第一人民医院 [2]长江大学附属第一医院泌尿外科,湖北荆州434000 [3]武汉大学人民医院东院泌尿外科

出　　处：《临床泌尿外科杂志》2014年第10期918-920,共3页Journal of Clinical Urology

摘　　要：目的:比较腹腔镜和显微镜下治疗精索静脉曲张的疗效。方法:将82例精索静脉曲张患者分成两组,44例行腹腔镜精索静脉高位结扎术(腹腔镜组),38例显微镜下行精索静脉高位结扎术(显微镜组)。对比两组患者术后间精液质量、并发症、手术所用时间、术后恢复时间及住院费用。结果:两组术后精液质量、促滤泡成熟激素(FSH)、睾酮及抑制素B比较差异无统计学意义(P>0.05)。两组术后阴囊水肿、保留精索内动脉、手术平均时间、平均住院时间、平均住院费用比较,差异均有统计学意义(P<0.05)。结论:从安全性及经济性方面考虑,显微镜下行精索静脉高位结扎术明显优于腹腔镜精索静脉高位结扎术,值得临床推广。Objective：To compare curative effect between microscopic and laparoscopic approach for treatment of varicocele.Method：We divided 82 patients with varicocele into two groups：laparoscopic group A（44cases）and microscopic group B（38cases）.The data of semen quality,complication,operation time,postoperative recovery time and hospitalization costs between two groups were compared.Result：We compared the data of postoperative semen quality,follicle stimulating hormone（FSH）,testosterone and inhibin B between two groups and there was no significant difference（P〉 0.05）.However,the data of postoperative scrotal edema,retention of spermatic artery,the average operation time,average hospital stay and average hospitalization expenses between two groups were significant differences（P〈 0.05）.Conclusion：Microscopic surgery is superior to laparoscopic surgery safely and economically in varicocelectomy,and is worth widely using.

关 键 词：精索静脉曲张 显微镜 腹腔镜 促滤泡成熟激素 

分 类 号：R697.24[医药卫生—泌尿科学]