外环下显微镜高选择性精索静脉结扎术的临床应用价值  

Clinical application value of highly selective spermatic vein ligation under the outer ring microscope

作　　者：范晓猛 朱红伟[2] 朱志敏 邱爱萍 刘永胜[1] FAN Xiaomeng;ZHU Hongwei;ZHU Zhimin;QIU Aiping;LIU Yongsheng(Department of Urology,the Second Hospi-tal of Baoding,Baoding 071051,China;不详)

机构地区：[1]保定市第二医院泌尿外科,河北保定071051 [2]保定市第二医院医学影像科,河北保定071051 [3]保定市妇幼保健院高危产科,河北保定071000

出　　处：《实用医学杂志》2021年第16期2124-2128,共5页The Journal of Practical Medicine

基　　金：保定市科技计划项目(编号:1951ZF012)。

摘　　要：目的探讨外环下显微镜高选择性精索静脉结扎术治疗精索静脉曲张(varicocele,VC)的临床应用价值。方法选择2014年1月至2018年1月保定市第二医院收诊VC患者120例为研究对象,随机分为研究组(n=60)与对照组(n=60)。研究组实施外环下显微镜高选择性精索静脉结扎术,对照组实施显微镜下精索静脉结扎术,比较两组患者的治疗效果。结果研究组的手术时间、术中出血量、术后24 h体温及住院时间分别为(35.26±10.36)min、(4.19±0.63)mL、(36.54±0.21)℃、(7.62±1.28)d,均短于对照组(P<0.05);而研究组手术后24 h的精液质量则显著高于对照组(P<0.05);研究组术后并发症总发生率为3.33%,低于对照组总发生率13.33%(P<0.05)。结论外环下显微镜高选择性精索静脉结扎术治疗VC患者安全性极高且效果显著,可以有限缩短患者的康复时间,值得在临床中推广使用。Objective To explore the clinical application value of highly selective spermatic vein ligation under the outer ring for varicocele(Varicocele,VC).Methods A total of 120 VC patients admitted to our hospital from January 2014 to January 2018 were selected and randomly divided into treatment group(n=60)and control group(n=60).Highly selective spermatic vein ligation under the microscope were performed in the treatment group and spermatic vein ligation under the microscope were used in the control group.The therapeutic effects between the two groups were compared.Results The operation duration,intraoperative blood loss,24 h body tem⁃perature and hospital stay of the study group were(35.26±10.36)min,(4.19±0.63)mL,(36.54±0.21)℃,(7.62±1.28)days,respectively,and were shorter than those of the control group(P<0.05).While,the semen quality of the study group 24 h after surgery was significantly higher than that of the control group(P<0.05);the total incidence of postoperative complications in the study group was 3.33%,which was lower than that of the control group 13.33%(P<0.05).Conclusion The high⁃selective spermatic vein ligation under the outer ring of the microscope is safe and effective for VC.It could shorten the recovery time of patients to a limited extent and is worthy of clinical application.

关 键 词：显微镜高选择性精索静脉结扎术 精索静脉曲张 精液质量 并发症 

分 类 号：R699.8[医药卫生—泌尿科学]