腹腔镜下套管针丝线高位结扎治疗精索静脉曲张的临床研究:附视频

Clinical observation of treatment for varicocelectomy with the laparoscopic varicocelectomy of puncture needle

目的探讨腹腔镜下套管针精索静脉丝线高位结扎治疗精索静脉曲张的临床疗效。方法将深圳中山泌尿外科医院收治28例精索静脉曲张患者分为两组。A组13例,采用腹腔镜下套管针精索静脉高位丝线结扎术。B组15例,采用传统腹腔镜精索静脉高位结扎术。对手术时间、出血量、住院时间、术后疼痛视觉模拟评分(VAS)、精子质量进行对比分析,并记录不良反应。结果 28例顺利完成手术,A组在出血量、术后VAS评分优于B组,且有统计学差异(P<0.05),手术时间、住院时间比较差异无统计学意义(P>0.05)。随访3个月,A、B组精子质量与术前比较差异有统计学意义,两组均未出现严重并发症。结论腹腔镜下套管针精索静脉丝线高位结扎治疗精索静脉曲张是一种安全、有效的治疗方法。

Objective To explore the clinical needle in the treatment of varicocelc （VC）. Mothods effects of laparoscopic varicocele surgery by puncture A total of 28 cases of patients with VC were divided into two groups： group A （n=13） and group B （n=15）. Group A received laparoscopic varicocelectomy of puncture needle, group B underwent conventional laparoscopic varicocelectomy. The changes of intraoperative and postoperative were evaluated, including the duration of operative time, blood loss, the hospitalization time, post-opertion visual analogue scale （VAS）, the quality of semen, and all adverse reactions were recorded. Results All operations were completed successfully. There were significant differences in blood loss, post-opertion VAS between group A and B （P〈0.05）, there were no significant differences in the duration of operative time, the hospitalization time between group A and B （P〉0.05）. Follow up of 3 months, the differences of quality of semen were statistically sinificant between preoperative and poctoperative. No patients had serious adverse reaction. Conclusion The laparoscopic varicocele surgery by puncture needle is safe and effective for VC.