腹腔镜手术治疗精索静脉曲张的临床研究

Clinical Study on Treatment of Varicocele by Laparoscopy

目的研究腹腔镜手术治疗精索静脉曲张(Varicose,VA)的临床疗效。方法方便选择2012年1月—2015年12月于该院接受手术治疗的VA患者86例,依据随机数字表法分为A组(n=43)与B组(n=43),两组一般资料差异无统计学意义(P>0.05)。A组行腹腔镜VA高位结扎术,B组行传统开放手术。观察两组术中出血量、手术时间、术后体温、止痛药物使用、住院时间等手术相关指标及术后并发症等指标。结果 A组术中出血量(30.12±3.38)m L、手术时间(37.39±4.25)min、术后住院时间(3.93±0.08)d均低于B组术中出血量(62.61±6.42)m L、手术时间(45.78±4.63)min、术后住院时间(7.01±0.14)d,差异有统计学意义(P<0.05)。A组使用止痛药物比例(9.30%)低于B组(41.86%),术后并发症发病率(13.95%)低于B组(32.56%),差异有统计学意义(P<0.05)。结论腹腔镜治疗VA创伤小,出血量小,痛苦少,疗效显著,且术后并发症发生率低,是治疗VA较为优秀的方法,值得推广。

Objective Laparoscopic surgical treatment of varicocele（Varicose, VA） clinical efficacy. Methods Convenient select January 2015 forecast in December for VA patients receiving surgical treatment for 86 cases in our hospital, based on the random number table is divided into group A（n=43） and group B（n=43）,There was no significant difference between the two groups（P〉0.05）.Laparoscopic high ligation of VA in group A and group B traditional open surgery.The amount of bleeding, operation time, postoperative temperature, drug use, length of stay, and postoperative complications of the two groups were observed. Results（30.12±3.38） m L in group A was the amount of bleeding, operation time（37.39±4.25）min,postoperative hospitalization time（3.93±0.08）d was lower than that of group B was the amount of bleeding（62.61±6.42）m L,operative time（45.78±4.63）min, postoperative hospitalization time（7.01±0.14）d and statistical significance（P〈0.05）..Group A use of analgesics（9.3%） than the group B（41.86%）, the incidence of postoperative complications（13.95%） than the group B（32.56%）, a statistically significant（P〈0.05）. Conclusion Laparoscopic treatment of VA trauma is small, less bleeding, less pain, curative effect is remarkable, and the incidence of postoperative complications is low, it is a good method to treat VA,it is worth promoting.