腹腔镜下高选择性曲张静脉结扎术治疗精索静脉曲张的临床效果分析(1)
[摘要] 目的 分析腹腔镜下高选择性曲张静脉结扎术治疗精索静脉曲张的临床效果。方法 方便选取该院在2017年9月—2018年5月期间收治的90例精索静脉曲张患者作为该次的研究对象，对其病例资料进行回顾性分析，依据手术方式的不同进行分组，一组给与腹腔镜下高选择性曲张静脉结扎术，为实验组，一组给与显微镜下低位精索静脉结扎术，为常规组，比较两组患者的治疗效果。结果 实验组患者手术时间为(60.4±6.4)min，手术费用为(16 453.5±474.5)元，住院时间为(3.3±2.3)d，其中手术时间较常规组更短(t=21.641 3，P<0.05)，其他数据比较差异无统计学意义(t=2.106 7、0.674 6，P>0.05);实验组患者术后6个月精子浓度、a+b级精子百分率与常规组比较差异无统计学意义(t=1.805 2、1.446 3，P>0.05);实验组患者复发率为13.33%(6例)，高于常规组的2.22%(1例)(χ2=3.872 6，P<0.05)。结论 腹腔镜下高选择性曲张静脉结扎术治疗精索静脉曲张疗效显著，手术时间较短，但复发率较高，临床中建议依据患者个体差异和需求理性选择手术方案。
[关键词] 腹腔镜下高选择性曲张静脉结扎术;精索静脉曲张;显微镜下低位精索静脉结扎術;临床效果
[中图分类号] R699 [文献标识码] A [文章编号] 1674-0742(2019)09(a)-0033-03
[Abstract] Objective To analyze the clinical effect of laparoscopic high-selective variceal ligation in the treatment of varicocele. Methods 90 patients with varicocele admitted to this hospital from September 2017 to May 2018 were convenient selected as the subjects of this study. The medical records were retrospectively analyzed and grouped according to the different surgical methods. Laparoscopic high-selective variceal ligation was performed in the experimental group， and a group of low-grade spermatic vein ligation under the microscope was given to the conventional group to compare the therapeutic effects of the two groups. Results The operation time of the experimental group was (60.4±6.4) min， the operation cost was (16 453.5±474.5) yuan， and the hospitalization time was (3.3±2.3)d. The operation time was shorter than the conventional group ( t= 21.641 3，P<0.05)， there was no statistically significant difference in other data(t=2.106 7，0.674 6，P>0.05). There was no statistically significantdifference in sperm concentration and a+b sperm percentage between the experimental group and the conventional group (t=1.805 2，1.446 3，P>0.05); the recurrence rate of the experimental group was 13.33% (6 cases)， which was 2.22% (1 case) higher than that of the conventional group (χ2=3.872 6，P<0.05). Conclusion Laparoscopic highly selective variceal ligation is effective in the treatment of varicocele. The operation time is shorter， but the recurrence rate is higher. It is recommended to choose the surgical plan according to the individual differences and needs of the patients.
[Key words] Laparoscopic high-selective variceal ligation; Varicocele; Low-grade spermatic vein ligation under microscope; Clinical effect
精索静脉曲张是临床中常见的男科疾病，将对患者的生育功能产生一定程度的影响，并可引起阴囊区不适，目前普遍通过手术方式治疗[1-3]。腹腔镜下高选择性曲张静脉结扎术在临床中较为常用，而近几年，随着显微镜技术的发展，显微镜下低位精索静脉结扎术也受到了临床中的关注，但仍有部分学者认为腹腔镜下高选择性曲张静脉结扎术疗效较为显著[4-5]。该次研究的目的就在于分析腹腔镜下高选择性曲张静脉结扎术治疗精索静脉曲张的临床效果，并对2017年9月—2018年5月期间该院收治的90例精索静脉曲张患者的病例资料进行了回顾性分析，现报道如下。, 百拇医药(李亚琦)
[关键词] 腹腔镜下高选择性曲张静脉结扎术;精索静脉曲张;显微镜下低位精索静脉结扎術;临床效果
[中图分类号] R699 [文献标识码] A [文章编号] 1674-0742(2019)09(a)-0033-03
[Abstract] Objective To analyze the clinical effect of laparoscopic high-selective variceal ligation in the treatment of varicocele. Methods 90 patients with varicocele admitted to this hospital from September 2017 to May 2018 were convenient selected as the subjects of this study. The medical records were retrospectively analyzed and grouped according to the different surgical methods. Laparoscopic high-selective variceal ligation was performed in the experimental group， and a group of low-grade spermatic vein ligation under the microscope was given to the conventional group to compare the therapeutic effects of the two groups. Results The operation time of the experimental group was (60.4±6.4) min， the operation cost was (16 453.5±474.5) yuan， and the hospitalization time was (3.3±2.3)d. The operation time was shorter than the conventional group ( t= 21.641 3，P<0.05)， there was no statistically significant difference in other data(t=2.106 7，0.674 6，P>0.05). There was no statistically significantdifference in sperm concentration and a+b sperm percentage between the experimental group and the conventional group (t=1.805 2，1.446 3，P>0.05); the recurrence rate of the experimental group was 13.33% (6 cases)， which was 2.22% (1 case) higher than that of the conventional group (χ2=3.872 6，P<0.05). Conclusion Laparoscopic highly selective variceal ligation is effective in the treatment of varicocele. The operation time is shorter， but the recurrence rate is higher. It is recommended to choose the surgical plan according to the individual differences and needs of the patients.
[Key words] Laparoscopic high-selective variceal ligation; Varicocele; Low-grade spermatic vein ligation under microscope; Clinical effect
精索静脉曲张是临床中常见的男科疾病，将对患者的生育功能产生一定程度的影响，并可引起阴囊区不适，目前普遍通过手术方式治疗[1-3]。腹腔镜下高选择性曲张静脉结扎术在临床中较为常用，而近几年，随着显微镜技术的发展，显微镜下低位精索静脉结扎术也受到了临床中的关注，但仍有部分学者认为腹腔镜下高选择性曲张静脉结扎术疗效较为显著[4-5]。该次研究的目的就在于分析腹腔镜下高选择性曲张静脉结扎术治疗精索静脉曲张的临床效果，并对2017年9月—2018年5月期间该院收治的90例精索静脉曲张患者的病例资料进行了回顾性分析，现报道如下。, 百拇医药(李亚琦)