腹腔镜下精索静脉结扎术中是否保留睾丸动脉与术后并发附睾炎的相关性  

The effects of laparoscopic spermatic vein ligations on postoperative epididymitis

作　　者：唐松林[1] 韩芳[1] 赵海生[1] 湛海伦[2] 

机构地区：[1]广东省佛山市南海区第七人民医院,528247 [2]中山大学附属第三医院泌尿外科,510630

出　　处：《实用医学杂志》2015年第11期1784-1786,共3页The Journal of Practical Medicine

摘　　要：目的:探讨腹腔镜下精索内静脉高位结扎和精索血管集束状结扎治疗精索静脉曲张术后并发附睾炎的发病率、发病时间及其与手术术式的相关性。方法:将44例我院行腹腔镜下精索静脉高位结扎患者分两组:A组:(经腹腔镜下双侧精索内静脉高位结扎术)22例,B组:(腹腔镜下双侧精索血管集束状结扎术)22例,回顾分析二种术式下术后并发附睾炎的发病率。结果:两组患者共7例术后并发附睾炎,其中A组的发病率为4.55%(1例),B组的发病率为27.27%(6例),均在手术后4周内出现。结论:腹腔镜术中保留睾丸动脉术式术后并发附睾炎的发病变率明显低于精索血管集束状结扎术式,我们认为睾丸动脉与术后附睾炎的发病率有明显相关性。Objective To evaluate the incidence of postoperative epididymitis by laparoscopic cluster ligation and laparoscopic internal spermatie vein high ligation in the treatment of varicocele. Methods Forty-four cases of bilateral varieocele were retrospectively analyzed, who had undergone laparoseopic spermatic vein ligation. The 22 cases were treated with laparoscopic cluster ligation, and the other 22 cases with laparoscopic internal spermatic vein high ligation. The effects and the reasons of two kinds of surgical procedures on postoperative epididymitis were investigated. Results A total of seven patients were affected with postoperative epididymitis. The incidence of laparoscopic cluster ligation was 27.27%. The incidence of laparoscopic internal spermatic vein high ligation was 4.55%. All cases were affected within 4 weeks after surgery. Conclusion It is important to reserve the spermatic artery for decreasing the incidence of postoperative epididymitis.

关 键 词：精索静脉曲张 腹腔镜 附睾炎 

分 类 号：R699.8[医药卫生—泌尿科学]