两种腹腔镜精索静脉结扎术式对术后并发附睾炎的影响  

The effects of two kinds of laparoscopic spermatic vein ligation on postoperative epididymitis

作　　者：唐松林[1] 赵海生[1] 湛海伦[2] 黄明华[1] 

机构地区：[1]广东省佛山市南海区第七人民医院外一区,广东佛山528247 [2]中山大学附属第三医院泌尿外科,广东广州510530

出　　处：《中国医药科学》2015年第10期145-147,共3页China Medicine And Pharmacy

摘　　要：目的探讨腹腔镜下精索血管集束状结扎和腹腔镜下精索内静脉高位结扎治疗精索静脉曲张术后并发附睾炎的机率。方法回顾我院行腹腔镜精索静脉结扎术的双侧精索静脉曲张的患者44例,其中经腹腔镜下双侧精索血管集束状结扎术22例,腹腔镜下双侧精索内静脉高位结扎术22例,探讨两种术式对术后并发附睾炎的发病率及原因。结果患者术后并发附睾炎共7例,其中腹腔镜下双侧精索血管集束状结扎术并发附睾炎的发生率为27.27%,腹腔镜下双侧精索内静脉高位结扎术并发附睾炎的发病率为4.55%,基本在手术后4周内出现。结论术中保留精索动脉对于术后减小附睾炎的发生有较重要的意义。Objective To evaluate the incidence of postoperative epididymitis by laparoscopic cluster ligation and laparoscopic internal spermatic vein high ligation in the treatment of varicocele. Methods Forty-four cases of bilateral varicocele were retrospectively analyzed,who had done with laparoscopic spermatic vein ligation.The 22 cases were done with laparoscopic cluster ligation, and the other 22 cases were done 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 had 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 emerge within 4 weeks after surgery. Conclusion It is important to reserve the spermatic artery for decreasing the incidence of postoperative epididymitis.

关 键 词：腹腔镜 精索静脉曲张 附睾炎 

分 类 号：R699[医药卫生—泌尿科学]