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腹腔镜和开放手术精索静脉高位结扎术的疗效分析
引用本文:柳其中,田凯,张跃曦,王宜林,赵平宇.腹腔镜和开放手术精索静脉高位结扎术的疗效分析[J].中华男科学杂志,2009,15(7):625-627.
作者姓名:柳其中  田凯  张跃曦  王宜林  赵平宇
作者单位:漯河市中心医院泌尿外科,河南漯河,462000
摘    要:目的:评价腹腔镜下精索静脉高位结扎和开放手术治疗精索静脉曲张的疗效。方法:回顾性分析85例腹腔镜下精索静脉高位结扎(腹腔镜组)和47例开放手术(开放手术组)治疗精索静脉曲张的临床资料。结果:腹腔镜组术中损伤小、术后恢复快,手术时间(32.0±5.9)min,基本无出血,术后住院(3.0±1.6)d,随访3~12个月,3例复发,复发率为3.5%。开放手术组手术时间(46.0±7.2)min,术后住院(7.0±3.7)d,随访3~12个月,5例复发,复发率为10.6%。手术时间和术后住院时间腹腔镜组显著低于开放手术组(P<0.05,和P<0.01)结论:腹腔镜下精索静脉高位结扎术治疗精索静脉曲张具有创伤小、恢复快、效果好、并发症少等优点。

关 键 词:精索静脉曲张  腹腔镜  精索静脉高位结扎术

Comparison Between Laparoscopic and Open Surgical High Ligation of the Internal Spermatic Vein
LIU Qi-zhong,TIAN Kai,ZHANG Yue-xi,WANG Yi-lin,ZHAO Ping-yu.Comparison Between Laparoscopic and Open Surgical High Ligation of the Internal Spermatic Vein[J].National Journal of Andrology,2009,15(7):625-627.
Authors:LIU Qi-zhong  TIAN Kai  ZHANG Yue-xi  WANG Yi-lin  ZHAO Ping-yu
Institution:LIU Qi-zhong,TIAN Kai,ZHANG Yue-xi,WANG Yi-lin,ZHAO Ping-yu Department of Urology,Central Hospital of Luohe,Luohe,Henan 462000,China
Abstract:Objective:To compare the effects of laparoscope-guided high ligation of the internal spermatic vein and open surgery in the treatment of varicocele.Methods:We collected the clinical data of 85 cases of varicocele treated by laparoscope-guided high ligation of the internal spermatic vein(the laparoscopic group)and another 47 that underwent open surgery(the open group),and compared the results of treatment between the 2 groups.Results:The operations were successful in all the cases.In the laparoscopic group,t...
Keywords:varicocele  laparoseopie  varieocele ligation
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