腹腔镜与开放手术精索内静脉高位结扎术的对比研究

THE COMPARSION BETWEEN LAPAROSCOPY INTERNAL SPERMATIC VEIN LIGATION AND TRADITIONAL OPEN LIGATION

目的 :对比观察腹腔镜行精索内静脉高位结扎术的优点。方法 :施行腹腔镜精索内静脉高位结扎术 2 2例与传统开放手术 2 8例进行对比研究。结果 :腹腔镜组与开放手术组手术时间分别为〔38.4 1±15 .0 7(10～ 80 )〕min和〔6 8.0 8± 2 7.4 2 (30～ 12 0 )〕min(P <0 .0 0 1) ,术后住院天数分别为〔2 .4 1± 1.0 8(1～5 )〕d和〔8.82± 2 .18(5～ 16 )〕d(P <0 .0 0 1)。结论 :腹腔镜精索内静脉高位结扎术与传统开放手术相比 ,具有手术时间短、住院天数少、局部美观等优点 ,尤适于常规手术后复发、有腹股沟手术史、肥胖及双侧精索静脉曲张患者。

Objective:To observe the effect of laparoscopic internal spermatic vein ligation.Methods:Laparoscopic internal spermatic vein ligation in 22 cases was compared with traditional open operation in 28 cases.Results:Operation time of laparoscopic group and traditional group were 〔38.41±15.07(10～80)〕min and 〔68.08±27.42(30～120)〕min( P< 0.001)respectively,hospitalization days were 〔2.41±1.08(1～5)〕d and 〔8.82±2.18(5～16)〕d respectively.Conclusion:Laparoscopy procedure has shorter operation time,less hospitalization days,less analgesic using and less spending. It has great advantage for recurrent,bilateral or fat patients,and those with inguinal operation history.