腹腔镜和开放手术行精索内静脉高位结扎术的比较

Comparison between laparoscopy and open operations for high ligation of internal spermatic veins

目的:比较腹腔镜精索内静脉高位结扎术和开放手术经腹膜后精索内静脉高位结扎术治疗精索静脉曲张的临床疗效。方法:对38例应用腹腔镜精索内静脉高位结扎术和46例应用开放手术经腹膜后精索内静脉高位结扎术的病例进行回顾性分析。结果:两组在手术时间、出血量、住院时间上均无明显统计学差异(P>0.05),且都手术后恢复快、无复发、无睾丸萎缩和睾丸精膜积液。结论:行精索内静脉高位结扎术,腹腔镜和开放手术相比较,两者无明显优劣之分。

Objective To compare the effects of laparoscopy and open operations on high ligation of internal spermatic veins for varicocele. Methods A retrospective study was conducted to look into the clinical data of 38 cases having undergone laparoscopic high ligation of internal spermatic veins and 46 cases having undergone open operations for high ligation. Results The two methods presented no significant differences in bleeding, operation time and hospital stay（P〉0.05）;Both groups were fast in postoperative recovery, without any recurrence, atrophy of testis and hydrocele. Conclusions The endoscopic high ligation of internal spermatic veins is equal to open operations for varicocele.