显微镜下精索静脉结扎术治疗青春期精索静脉曲张的效果  

Effect of Ligation of Spermatic Vein Under Microscope in the Treatment of Varicocele in Adolescence

作　　者：岳巍巍[1] 陈烈钳 邓廷志 陈景宇[1] YUE Wei-wei;CHEN Lie-qian;DENG Ting-zhi;CHEN Jing-yu(Department of Urology,the First People's Hospital of Huizhou,Huizhou 516000,Guangdong,China)

机构地区：[1]广东惠州市第一人民医院泌尿外科,广东惠州516000

出　　处：《医学信息》2020年第20期77-79,共3页Journal of Medical Information

基　　金：广东省医学科研基金(编号:A2018235)。

摘　　要：目的分析显微镜下精索静脉结扎术治疗青春期精索静脉曲张的效果。方法选取2017年1月~2019年1月我院收治的青春期精索静脉曲张患者80例,根据其入院单双号分组,其中单号设为控制组(40例),双号设为试验组(40例)。两组均行精索静脉结扎术治疗,试验组于显微镜下进行手术,控制组于腹腔镜下进行手术,比较两组手术情况、手术前及术后6 d血清免疫球蛋白水平、并发症发生率及复发情况。结果试验组住院时间、胃肠功能恢复时间均短于控制组,差异有统计学意义(P<0.05);试验组手术时间长于控制组,差异无统计学意义(P>0.05);试验组术后6 d血清IgA、IgG水平高于控制组,差异有统计学意义(P<0.05);试验组并发症发生率低于对照组,差异有统计学意义(P<0.05);控制组复发率为15.00%,高于试验组的2.50%,差异有统计学意义(P<0.05)。结论青春期精索静脉曲张行显微镜下精索静脉结扎术治疗的效果显著,即可改善患者免疫功能,减少并发症,还可缩短其术后胃肠功能恢复及住院时间,具有较高经济性和安全性。Objective To analyze the effect of varicocele ligation under microscope in the treatment of varicocele in adolescence.Methods A total of 80 adolescent varicocele patients who were admitted to our hospital from January 2017 to January 2019 were selected and grouped according to their admission odd and even numbers.The single number was set as the control group(40 cases)and the double number was set as the test group.(40 cases).The two groups were treated with spermatic vein ligation,the test group was operated under a microscope,and the control group was operated under a laparoscope.The operation conditions,serum immunoglobulin levels of Preoperative and postoperative 6 d,complication rate and recurrence of the two groups were compared.Results The hospitalization time and gastrointestinal function recovery time of the experimental group were shorter than those of the control group,the difference was statistically significant(<0.05);the operation time of the experimental group was longer than that of the control group,the difference was not statistically significant(>0.05);Serum IgA and IgG levels were higher than the control group at 6 d,the difference was statistically significant(<0.05);the complication rate of the experimental group was lower than the control group,the difference was statistically significant(<0.05);the recurrence rate of the control group 15.00%,higher than 2.50%of the experimental group,the difference was statistically significant(<0.05).Conclusion Microscopic spermatic vein ligation for adolescent varicocele had a significant effect,which could improve the patient's immune function,reduce complications,and shortened the postoperative gastrointestinal function recovery and hospital stay.It had high economic and safety.

关 键 词：青春期 精索静脉曲张 显微镜 精索静脉结扎术 

分 类 号：R726.9[医药卫生—儿科]