腹腔镜与开放手术治疗精索静脉曲张的对比分析

High ligation of spermatic vein by laparoscopy

目的:对比研究腹腔镜和开放手术行精索静脉高位结扎术治疗精索静脉曲张的疗效。方法:回顾分析51例腹腔镜和69例开放手术行精索静脉高位结扎术的临床资料,比较两种方法在手术时间、术后住院天数、综合治疗费用及术后8、24、48h数字评分法(numerical rating scale,NRS)值的差异。结果:两组在手术时间、术后住院天数及疼痛等方面差异均有极显著的统计学意义(P<0.01),腹腔镜组优于开放组,综合治疗费用两组无显著差异(P>0.05)。结论:腹腔镜治疗精索静脉曲张较开放手术具有患者创伤小、康复快、术后住院时间短及美容效果好等优点。

Objective：To compare the value of high ligation of spermatic vein by laparoscopy with open operation for varicocele. Methods ：The clinical data of laparoscopic high ligation of spermatic vein in 51 cases was compared with that of open operation in 69 cases. Results： Laparoseopic method had a significant superior in operation time, level of trauma, postoperative hospitalization and curative effect to open method（ P 〈 0.01 ）, except no significant difference on the cost （ P 〉 0.05 ）. Conclusions： Laparoscopic procedure for varicocele is much better than open operation,and it is the first choice for patients.