TEP治疗男性腹股沟疝对睾丸血流动力参数及体积的影响  

Influence of TEP in treatment of male inguinal hernia on hemodynamic parameters and volume of testis

作　　者：蒋晨春 刘昕 雷朝君 李闯 JIANG Chenchun;LIU Xin;LEI Chaojun;LI Chuang(Department of Emergency,Shenzhen Longhua District People′s Hospital,Shenzhen 518109,Guangdong,China;Department of General Surgery,Shenzhen Longhua District People′s Hospital,Shenzhen 518109,Guangdong,China)

机构地区：[1]深圳市龙华区人民医院急诊科,广东深圳518109 [2]深圳市龙华区人民医院普外科,广东深圳518109

出　　处：《中国性科学》2020年第3期21-24,共4页Chinese Journal of Human Sexuality

摘　　要：目的探究腹腔镜下全腹膜外腹股沟疝修补手术(TEP)治疗男性腹股沟疝对睾丸血流动力参数、体积及血清睾酮水平的影响。方法选取2017年3月至2018年3月深圳市龙华区人民医院接收的85例行TEP治疗的单侧腹股沟疝患者作为研究对象。对这85例患者手术前后进行自身对照研究,比较术前、术后3个月、术后6个月患侧睾丸动脉(TA)、睾丸包膜动脉(CA)、睾丸内动脉(ITA)血流动力学参数[收缩期峰流速(PSA)、舒张期流速(EDV)、阻力指数(RI)],睾丸体积(TV)及血清睾酮水平变化。结果术前、术后3个月、术后6个月血清睾酮浓度[(3.87±0.24)ng/mL、(3.74±0.28)ng/mL、(3.78+0.23)ng/mL,F=0.137,P=0.814];术前、术后3个月、术后6个月睾丸体积[(8.74±1.26)cm^3、(9.03±1.47)cm^3、(8.92±1.08)cm^3,F=0.459,P=0.622];TA、CA、ITA血流参数变化:与术前相比,术后3个月及术后6个月EDV水平升高,RI水平降低,差异有统计学意义(P<0.05);PSA水平在手术前后的差异无统计学意义(P>0.05);与术后3个月相比,术后6个月PSA、EDV、RI水平差异无统计学意义(P>0.05)。结论 TEP治疗腹股沟疝有助于改善患侧睾丸血流灌注,对睾丸体积及血清睾酮水平无影响。Objective To explore the influence of laparoscopic totally extraperitoneal prosthesis(TEP) in treatment of male inguinal hernia on testicular hemodynamic parameters, volume and serum testosterone level. Methods 85 patients with unilateral inguinal hernia and treated with TEP in our hospital from March 2017 to March 2018 were selected as research objects, and the self-control study were conducted before and after the operation. The hemodynamic parameters of testicular artery(TA), capsular artery(CA), internal testicular artery(ITA) [peak systolic velocity(PSV), End Diastolic Velocity(EDV), resistance index(RI)], testicular volume(TV) and serum testosterone level change of patients before the operation and 3 months and 6 months after operation were compared. Results The serum testosterone concentration before the operation and 3 months and 6 months after operation were [(3.87+0.24) ng/ml,(3.74+0.28) ng/ml,(3.78+0.23) ng/ml, F=0.137, P=0.814]. The testicular volume before the operation and 3 months and 6 months after operation were [(8.74+1.26) cm^3,(9.03+1.47) cm^3,(8.92+1.08) cm^3, F=0.459, P=0.622]. In terms of changes in blood flow parameters in TA, CA and ITA, compared with pre-operation, the EDV levels 3 months and 6 months after operation were increased and RI levels were decreased, with statistically significant differences(P<0.05). There was no significant difference in PSV level between before and after operation(P>0.05). Compared with those at 3 months after operation, the PSV, EDV and RI levels were not significantly different at 6 months after operation(P>0.05). Conclusions TEP in treatment of inguinal hernia is helpful to improve the blood perfusion of the affected testis, with no effect on testicular volume and serum testosterone level.

关 键 词：腹腔镜下全腹膜外腹股沟疝修补术 腹股沟疝 睾丸体积 血流动力参数 睾酮 

分 类 号：R698[医药卫生—泌尿科学]