腹腔镜下治疗精索静脉曲张术后并发附睾炎的相关性

Correlation between Laparoscopic Treatment of Varicocele Surgery Complicated with Epididymitis

目的探究腹腔镜下双侧精索内静脉高位结扎术与腹腔镜下双侧精索血管集束状结扎术应用于治疗精索静脉曲张术后并发附睾炎的相关性。方法将行腹腔镜下双侧精索内静脉高位结扎术治疗的22例患者作为A组对象,将行腹腔镜下双侧精索血管集束状结扎术治疗的21例患者作为B组对象,比较经手术治疗患者并发附睾炎的几率。结果 A、B组患者术后并发附睾炎几率分别为4.55%与28.57%,A组患者几率明显低于B组,差异具有统计学意义(P<0.05)。结论经腹腔镜下双侧精索内静脉高位结扎术治疗,术中保留睾丸动脉可显著降低术后并发附睾炎几率,由此可判定患者术后并发附睾炎与睾丸动脉存在明显相关性。

Objective To discuss correlation between laparoscopic treatment of varicocele surgery complicated with epididymitis. Methods The row laparoseopic bilateral spermatic vein high ligation in treatment of 22 cases patients as group A objects, the row laparoscopic bilateral ligation of spermatic veins cluster shape treatment of 21 eases as group B object, and the risk of surgery patients complicated with epididymitis was compared. Results Group A, group B of patients with postoperative concurrent epididymitis chances were 4.55% and 28.57%, respectively, A risk group of patients was lower than that in group B, and the difference was statistically significant（P〈0.05）. Conclusion After laparoscopic bilateral spermatic vein high ligation in treatment of intraoperative retain testicular artery can significantly reduce postoperative concurrent epididymitis risk, thus will determine patients postoperative concurrent epididymitis and testicular artery obvious correlation.