腹腔镜手术与介入治疗精索静脉曲张的系统评价  

Laparoscopic surgery versus interventional operation for the treatment of varicocele:a systematic evaluation

作　　者：盛夏[1] 殷永健 郑剑[1] 张正红[1] SHENG Xia;YIN Yongjian;ZHENG Jian;ZHANG Zhenghong(Department of Urinary Surgery,Second People's Hospital of Chongqing Banan District,Chongqing 400055,China)

机构地区：[1]重庆市巴南区第二人民医院泌尿外科,重庆400055

出　　处：《介入放射学杂志》2024年第11期1186-1191,共6页Journal of Interventional Radiology

摘　　要：目的评价腹腔镜手术与介入栓塞治疗精索静脉曲张的效果及安全性。方法以介入栓塞、腹腔镜、精索静脉曲张为关键词检索维普科技期刊数据库、中国知网科技核心期刊数据库,以interventional embolization、varicocele、laparoscope为主题词检索PubMed数据库,检索时间至2023年6月。比较介入栓塞手术与腹腔镜手术治疗精索静脉曲张的精液浓度、精子存活率、怀孕率、并发症及住院时间。采用RevMan 5.4软件对结果进行Meta分析。结果共纳入相关文献8篇。介入栓塞组(Ebo组)与腹腔镜手术组(Lap组)在住院时间及住院费用方面差异有统计学意义(P<0.0001,P=0.005),而在精液质量、怀孕率、精子存活率、并发症方面差异无统计学意义(P=0.85、0.20、0.28、0.55),各种程度精索静脉曲张的两种手术后效果差异无统计学意义(P=0.59)。结论两种治疗方案的有效性及安全性相当,而Ebo组的住院时间和住院费用明显低于Lap组。Objective To systematically evaluate the efficacy and safety of laparoscopic surgery and interventional embolization for varicocele.Methods A computerized retrieval of academic papers concerning the laparoscopic surgery and interventional embolization for varicocele from the databases of Weipu Science and technology periodical database,CNKI science and technology core periodical database by using"interventional""laparoscopy"and"varicocele"as keywords,as well as from PubMed database by using"interventional embolization""varicocele""laparoscope"as keywords was conducted.The retrieval time period was from the establishment of the database to June 2023.The semen concentration,sperm survival rate,pregnancy rate,complications and length of hospital stay were compared between laparoscopic surgery and interventional embolization.RevMan 5.4 software was used to make meta-analysis of the results.Results A total of 8 articles were included in this analysis.There were statistically significant differences in the length of hospital stay(P<0.0001)and medical cost(P=0.005)between interventional embolization group and laparoscopic surgery group,while no statistically significant differences in the semen quality(P=0.85),pregnancy rate(P=0.20),sperm survival rate(P=0.28),complications(P=0.55)existed between the two groups.The difference in surgical effect of different degrees of varicocele between the two groups was not statistically significant(P=0.59).Conclusion For the treatment of varicocele,laparoscopic surgery and interventional embolization have the similar effectiveness and safety,while the length of hospital stay and the medical cost in the interventional embolization group are significantly lower than those in the laparoscopic surgery group.

关 键 词：介入 介入栓塞 腹腔镜 精索静脉曲张 系统评价 

分 类 号：R659[医药卫生—外科学]