经腹膜外途径和经腹腔途径腹腔镜下精索静脉高位结扎术的对照研究  

Comparative study of clinical efficacy between extraperitoneal and transperitoneal laparoscopic spermatic vein high ligation in treating varicocele

作　　者：杨春亭[1] 李志斌[1] 杜东岭[1] 蔡伟飞[1] 何利兵[1] 

机构地区：[1]东莞东华医院(中山大学附属东华医院)泌尿外科,东莞523110

出　　处：《新医学》2017年第3期188-191,共4页Journal of New Medicine

摘　　要：目的比较经腹膜外途径和经腹腔途径腹腔镜下精索静脉高位结扎术治疗精索静脉曲张的疗效。方法收集63例腹腔镜下双侧精索静脉高位结扎术的患者资料,其中采用经腹膜外途径26例(A组)、经腹腔途径37例(B组),比较2组患者的术前资料、手术资料、疗效及并发症情况。结果所有患者均顺利完成手术。A组患者的术后肠道功能恢复时间短于B组(P<0.05),2组的术前资料、手术时间、术中出血量、疗效、并发症发生率、复发率比较差异均无统计学意义(P均>0.05)。结论经腹膜外途径的腹腔镜下精索静脉高位结扎术具有与经腹腔途径相同的治疗效果,安全可行,且不干扰腹腔器官,术后肠道功能恢复快。Objective To compare the clinical efficacy between extraperitoneal and transperitoneal laparoscopic spermatic vein high ligation in the treatment of varicocele.Methods Clinical data of 63 varicocele patients undergoing bilateral laparoscopic spermatic vein high ligation were retrospectively analyzed including 26 cases undergoing extraperitoneal laparoscopic spermatic vein high ligation（group A） and 37 receiving transperitoneal laparoscopic spermatic vein high ligation（group B）.Preoperative data,intraoperative data,clinical efficacy and postoperative complications were statistically compared between two groups.Results All patients successfully completed the surgery.The time of postoperative gastrointestinal function restoration in the group A was significantly shorter compared with that in the group B（P〈0.05）.Preoperative data,operative time,clinical efficacy,incidence of postoperative complications and postoperative recurrence rate did not significantly differ between two groups（all P〈0.05）.Conclusions Extraperitoneal laparoscopic spermatic vein high ligation yields clinical efficacy similar to transperitoneal laparoscopic spermatic vein high ligation.It is a safe and viable technique,which accelerates the restoration of gastrointestinal function whereas does not intervene peritoneal organs.

关 键 词：精索静脉曲张 结扎术 腹腔镜 

分 类 号：R699.8[医药卫生—泌尿科学]