腹腔镜手术治疗精索静脉曲张临床应用体会

LAPAROSCOPIC OPERATION FOR THE TREATMENT OF VARICOCELE EXPERIENCE OF CLINICAL APPLICATION

目的:探讨、分析腹腔镜手术治疗精索静脉曲张较开放式手术的优势所在。方法:选择100例精索静脉曲张病人作为研究对象,依据各患者应用手术方法的不同,分为治疗组(腹腔镜手术组)、对照组(开放手术治疗组),每组各为50例病例,在平均手术时间、平均住院时间、术后1年复发人数、术后疼痛人数共四个指标展开组间对比。结果:治疗组平均手术时间、平均住院时间、术后1年复发率、术后疼痛人数均远较对照组低,且P均<0.05。结论:腹腔镜手术凭借其手术时间短、住院天数少、术后疼痛较轻、无复发等优势,逐渐取代开放式手术方法,在精索静脉曲张临床中占有重要地位。

Objective： To investigate and analyze laparoscopic operation in the treatment of varicocele with open operation advantage. Methods ：100 patients with varicocele as the research object, according to the patients with different operation method, di- vided into the treatment group （ laparoscopic operation group ）, control group （ open operation treatment group）, each group hde 50 cases, the average operation time, hospitalization time, postoperative recurrence in 1 years, the number of postoperative pain in all four index number expansion difference between the groups were comparde. Results：In the treatment group, the average operation time, the average length of time, the 1 year recurrence rate, postoperative pain numbers were far lower than those in the control group, and （P 〈 O. 05 ）. Conclusion ： laparoscopic operation has its short operation time, hospital stay, less postoperative pain, no recurrence and other advantages, gradually replaced by open operation method, occupies the important position in the in varicocele.