目的:通过对比研究,分析精索静脉曲张患者采用Wink切口下显微镜精索静脉结扎术和腹腔镜精索静脉高位结扎术的治疗效果。方法:回顾性选取2020年7月-2021年12月在无锡市人民医院行精索静脉结扎术的50例患者的资料,根据治疗方法差异将其分...目的:通过对比研究,分析精索静脉曲张患者采用Wink切口下显微镜精索静脉结扎术和腹腔镜精索静脉高位结扎术的治疗效果。方法:回顾性选取2020年7月-2021年12月在无锡市人民医院行精索静脉结扎术的50例患者的资料,根据治疗方法差异将其分为Ⅰ组和Ⅱ组,各25例。Ⅰ组采取Wink切口下显微镜精索静脉结扎术,Ⅱ组采取腹腔镜下精索静脉高位结扎术。记录两组患者手术时间、手术出血量及住院时间;分别于术前及术后6个月评估精液质量;记录术后并发症发生情况,术后6个月复发情况;评估患者治疗总满意度。结果:Ⅰ组手术时间长于Ⅱ组,差异有统计学意义(P<0.05),两组住院时间、手术出血量比较,差异均无统计学意义(P>0.05)。术后6个月,两组精液质量较术前均有所改善,且Ⅰ组精子密度、前向运动比例(proportion of sperm forward movement,PR)及精子存活率均高于Ⅱ组,差异均有统计学意义(P<0.05)。Ⅰ组并发症总发生率、术后6个月复发率均低于Ⅱ组,差异均有统计学意义(P<0.05)。Ⅰ组治疗总满意度高于Ⅱ组,差异有统计学意义(P<0.05)。结论:Wink切口下显微镜精索静脉结扎术用于精索静脉曲张治疗效果优于腹腔镜精索静脉高位结扎术,虽然显微镜下操作手术时间略长,但术后并发症少,复发率低,患者满意度高,切口更隐匿美观。展开更多
Introduction: Marcus Gunn jaw winking syndrome (MGJWS) is a rare congenital disorder belonging to the synkinetic eye movement group of disorders observed in children. It occurrence in adults and patients with diabetes...Introduction: Marcus Gunn jaw winking syndrome (MGJWS) is a rare congenital disorder belonging to the synkinetic eye movement group of disorders observed in children. It occurrence in adults and patients with diabetes has not been reported. Material and Methods: A 64 year man with poorly controlled diabetes of 18 years presented with 3 month history of jaw winking on the left side along with gustatory sweating, which was managed conservatively. There was spontaneous improvement in jaw wink at 4 months of follow up. Conclusions: Acquired causes of MGJWS are not known. This is probably the first report of this syndrome occurring at such a late age. Long standing poorly controlled diabetes may have had some role in the development of jaw winking in this patient.展开更多
文摘目的:通过对比研究,分析精索静脉曲张患者采用Wink切口下显微镜精索静脉结扎术和腹腔镜精索静脉高位结扎术的治疗效果。方法:回顾性选取2020年7月-2021年12月在无锡市人民医院行精索静脉结扎术的50例患者的资料,根据治疗方法差异将其分为Ⅰ组和Ⅱ组,各25例。Ⅰ组采取Wink切口下显微镜精索静脉结扎术,Ⅱ组采取腹腔镜下精索静脉高位结扎术。记录两组患者手术时间、手术出血量及住院时间;分别于术前及术后6个月评估精液质量;记录术后并发症发生情况,术后6个月复发情况;评估患者治疗总满意度。结果:Ⅰ组手术时间长于Ⅱ组,差异有统计学意义(P<0.05),两组住院时间、手术出血量比较,差异均无统计学意义(P>0.05)。术后6个月,两组精液质量较术前均有所改善,且Ⅰ组精子密度、前向运动比例(proportion of sperm forward movement,PR)及精子存活率均高于Ⅱ组,差异均有统计学意义(P<0.05)。Ⅰ组并发症总发生率、术后6个月复发率均低于Ⅱ组,差异均有统计学意义(P<0.05)。Ⅰ组治疗总满意度高于Ⅱ组,差异有统计学意义(P<0.05)。结论:Wink切口下显微镜精索静脉结扎术用于精索静脉曲张治疗效果优于腹腔镜精索静脉高位结扎术,虽然显微镜下操作手术时间略长,但术后并发症少,复发率低,患者满意度高,切口更隐匿美观。
文摘Introduction: Marcus Gunn jaw winking syndrome (MGJWS) is a rare congenital disorder belonging to the synkinetic eye movement group of disorders observed in children. It occurrence in adults and patients with diabetes has not been reported. Material and Methods: A 64 year man with poorly controlled diabetes of 18 years presented with 3 month history of jaw winking on the left side along with gustatory sweating, which was managed conservatively. There was spontaneous improvement in jaw wink at 4 months of follow up. Conclusions: Acquired causes of MGJWS are not known. This is probably the first report of this syndrome occurring at such a late age. Long standing poorly controlled diabetes may have had some role in the development of jaw winking in this patient.
