超声引导精索阻滞法应用于睾丸摘除及取精术中的疗效观察

Observation on the Effect of the Application of Ultrasonic Guided Spermatic Cord Block in the Testis Removal and Sperm Extraction

目的:探究超声引导精索阻滞法在睾丸摘除及取精术中的应用效果。方法:回顾性分析2012年2月-2015年4月在本院进行睾丸摘除及取精术患者(62例)的临床资料,按治疗方法分为研究组和对照组,研究组32例,对照组30例。对两组患者麻醉阻滞成功率、术中和术后并发症情况以及围术期疼痛评分进行比较。结果:研究组患者麻醉阻滞成功率90.62%显著高于对照组的60.00%,差异有统计学意义(字2=7.918,P=0.005<0.05),且在术中药物追加、血肿、刺破血管等发生率均低于对照组,患者满意度高于对照组,差异均有统计学意义(P<0.05),在麻醉方式更改方面,差异无统计学意义(P>0.05);不同时间节点VAS评分比较,研究组患者在术中5 min及术后2、6、12 h均优于对照组,比较差异均有统计学意义(P<0.05),术后24 h VAS评分两组比较差异无统计学意义(P>0.05)。结论:超声引导精索阻滞法在睾丸摘除及取精术中阻滞成功率高,患者并发症较少,围术期内麻醉镇痛效果较好,临床应用价值较高,值得进一步推广使用。

Objective： To explore the effect of ultrasonic guided spermatic cord block method in the testis removal and sperm extraction.Method： The Date of 62 patients admitted to our hospital for testis removal ~md sperm extraction from February 2012 to April 20}5 were retrospectively analyzed and divided into the research group and the control group according to the difference of treatment, 32 cases in the research group and 30 cases in the control group.The success rate, complications and postoperative visual analog pain scale （ VAS ） scores were compared between two groups.Result： The success rate of 90.62% in the research group was significantly higher than 60.00% in the control group, the difference was statistic significant （ X2=7.918, P=0.005〈0.05 ） .The intraoperative additional medicine, hematoma, punctured blood vessels and other projects of the research group were lower than those of the control group, while the patients＇ satisfaction in research group was higher than those of the control group, the differences were statistically significant （ P〈0.05 ） .In regard to the change in the way of anesthesia, the difference between the two groups had no statistic significant （ P〉0.05 ） .The VAS scores in the research group at 5 rain and 2, 6, 12 h postoperative were better than those in the control group, the differences were statistically significant （ P〈0.05 ）, while the 24 h VAS had no significant difference between two groups （P〉0.05） . Conclusion： The ultrasonic guided spermatic cord block anesthesia in the testis removal and sperm extraction has a high success rate with fewer complications and better analgesic effect in the perioperative period, it shows a high value in clinical application and is worth to popularize.