经脐单孔腹腔镜与传统腹腔镜手术治疗精索静脉曲张远期效果比较  

Long-term Effect Comparison of Transumbilical Single Port Laparoscopy and Traditional Laparoscopic Surgery in Treatment of Varicocele

作　　者：吕文鑫[1] 宋绪佳 吴明贵[1] LV Wen-xin;SONG Xu-jia;WU Ming-gui(Liuzhou City Worker＇s Hospital,Liuzhou,Guangxi,54500)

机构地区：[1]柳州市工人医院,广西柳州545005

出　　处：《智慧健康》2018年第18期110-111,共2页Smart Healthcare

摘　　要：目的研究经脐单孔腹腔镜与传统腹腔镜手术治疗精索静脉曲张远期效果。方法选择2013年1月至2015年12月医院收治的精索静脉曲张患者76例,随机分为对照组和观察组,每组患者38例。对照组患者采用传统腹腔镜手术方法治疗,观察组患者采用经期单孔腹腔镜手术方法治疗。对比两组患者的围手术期指标,随访3年对比远期效果。结果两组患者手术时间、出血量、术后住院时间等指标均无显著差异(P>0.05)。两组患者远期复发率、并发症等指标无显著差异(P>0.05)。观察组患者远期伤口外观情况优于对照组患者。结论采用经期单孔腹腔镜手术和传统腹腔镜手术的方法治疗精索静脉曲张,患者围手术期指标和远期疗效相近,但单孔腹腔镜手术治疗后肚脐伤口更加美观,无需做多个伤口,脐部伤口康复后可达到几乎观察不出的效果。Objective to study long-term effect of transumbilical single port laparoscopy and traditional laparoscopy in treatment of varicocele. Methods choose 76 cases varicocele patients admitted to our hospital from January 2013 to December 2015, divide them into control and observation group randomly, with 38 cases in each. Control group was treated by traditional laparoscopic surgery, and observation group with transumbilical single port laparoscopic surgery. Compare perioperative indexes, long-term effect after 3 years follow-up of two groups. Results operative time, bleeding amount and postoperative hospital stay showed no significant difference between two groups（P〉0.05）. Long-term recurrence rate, complications showed no significant difference between two groups,（P〉0.05）. Long-term wound appearance of observation group was better than control group. Conclusion transumbilical single port laparoscopy and traditional laparoscopy has similar perioperative indexes and long term effect in varicocele treatment, but single port laparoscopic surgery has more beautiful navel wound with no multiple wounds, navel wound may not observed after rehabilitation.

关 键 词：经期单孔腹腔镜 传统腹腔镜 手术治疗 精索静脉曲张 远期效果 

分 类 号：R699.8[医药卫生—泌尿科学]