腹腔镜腹股沟疝修补术对睾丸体积和血流灌注影响的临床观察

Clinical observation of the impact of laparoscopic inguinal hernia repair on testicular volume and perfusion

目的研究腹腔镜腹股沟疝修补术对睾丸血流灌注及体积的影响。方法对41例行完全腹膜外或经腹腔,腹腔镜单侧疝修补术的男性患者进行自身前后对照研究,比较术前、术后患侧睾丸的体积、睾丸动脉(TA)、睾丸包膜动脉(CA)、睾丸内动脉(ITA)血流参数及血清睾酮的变化。结果患者术前及术后2周、6个月时患侧各统计指标与术前比较差异无统计学意义(P>0.05)。结论腹腔镜腹股沟疝修补术对患侧睾丸体积、血流灌注及血清睾酮水平无明显影响。

Objective To study the impact of laparoscopic inguinal hernia repair on testicular volume and perfusion. Methods A total of 41 male patients with unilateral inguinal hernia undergoing totally extraperitoneal prosthetic（TEP） or transabdominal preperitoneal prosthetic（TAPP）,were enrolled in a prospective internally controlled study. Pre- and Post-operative blood flow parameters of testicular artery （TA）, capsular artery （CA）, intratesticular artery （ITA） on the affected side, including peak systolic velocity （PSV）, end diastolic velocity （EDV）, resistance index （RI）, testicular volume （TV）, and plasma testosterone level were studied and compared. Results Follow-up continued for 6 to 12 months, There were not significantly different in those statistical indicators between the preoperative and postoperative period （P〉0.05）. Conclusion Laparoscopic inguinal hernia repair had no significant effect on testicular perfusion, testicular volume and plasma testosterone level are not influenced.