腹腔镜完全腹膜外补片植入术对男性腹股沟疝患者精索血管及睾丸功能的影响  

Effect of Laparoscopic Complete Extraperitoneal Patch Implantation on the Function of Spermatic Cord and Testis in male Patients with Inguinal Hernia

作　　者：林永彦 王远博 LIN Yong-yan;WANG Yuan-bo(Department of Surgery,People's Hospital of Zhaoqing High-tech Zone,Zhaoqing 526238,Guangdong Province,China)

机构地区：[1]肇庆高新区人民医院外科,广东肇庆526238

出　　处：《罕少疾病杂志》2022年第5期74-76,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的研究腹腔镜完全腹膜外补片植入术对男性腹股沟疝患者精索血管及睾丸功能的影响。方法选取我院收治的63例男性腹股沟疝患者,2018年10月至2020年10月,分为对照组31例和试验组32例,依据随机数字表法进行,对照组接受腹腔镜经腹腹膜前疝修补术,试验组接受腹腔镜下完全腹膜外补片植入术,两组均于术后随访1个月。比较两组手术相关指标、术前与术后1个月精索血管情况及睾丸功能。结果两组手术时间、术后第1d的VAS评分、术后自主下床活动与住院时间、术前、术后1个月的精索动脉管径、精索动脉血流速度、精液量、精子密度、精子活率及血清睾丸浓度均无差异(P>0.05);与术前相比,术后1个月两组精索静脉管径均增宽,对照组宽于试验组,精索静脉血流速度均减慢,对照组慢于试验组(P<0.05)。结论相比腹腔镜经腹腹膜前疝修补术,腹腔镜完全腹膜外补片植入术可对男性腹股沟疝患者的精索静脉血管管径及血流速度影响较小,且两者对睾丸功能影响均较小,可加快患者的术后恢复进程。Objective To study the effect of laparoscopic complete extraperitoneal patch implantation on the function of spermatic cord and testis in male patients with inguinal hernia.Methods A total of 63 male patients with inguinal hernia admitted to our hospital were selected from October 2018 to October 2020,and they were divided into a control group of 31 cases and a test group of 32 cases.According to the random number table method,the control group received laparoscopic transabdominal peritoneum For anterior hernia repair,the experimental group underwent laparoscopic complete extraperitoneal patch implantation.Both groups were followed up for 1 month after surgery.The operation-related indicators,the condition of spermatic cord blood vessels and testicular function before and 1 month after operation were compared between the two groups.Results The operation time of the two groups,the VAS score on the first day after the operation,the time of autonomous getting out of bed and the hospital stay,the diameter of the spermatic artery,the blood flow velocity of the spermatic artery,and the volume of semen before and 1 month after the operation.There was no difference in sperm density,sperm motility and serum testicular concentration(all P>0.05);compared with preoperatively,the diameter of the spermatic vein in the two groups was widened at 1 month after the operation,and the control group was wider than the test group.The blood flow speed of cord veins all slowed down,and the control group was slower than the test group(P<0.05).Conclusion Compared with laparoscopic preperitoneal hernia repair,laparoscopic complete extraperitoneal patch implantation can have less effect on the diameter and blood flow velocity of spermatic vein in male patients with inguinal hernia,and both have less effect on testicular function.The impact is small,which can speed up the patient’s postoperative recovery process.

关 键 词：腹股沟疝 男性 腹腔镜完全腹膜外补片植入术 精索血管 睾丸功能 

分 类 号：R656.21[医药卫生—外科学]