经脐部单一切口腹腔镜联合疝气针治疗精索静脉曲张的临床疗效观察

目的观察腹腔镜经脐部单一切口联合疝气针治疗精索静脉曲张的临床疗效。方法选择2016年10月-2018年1月该院住院的200例精索静脉曲张患者,行腹腔镜经脐部单一切口联合疝气针精索静脉高位结扎术。记录手术时间、出血量和术后切口疼痛发生率等指标,评价该手术方式的安全性及有效性。结果所有患者均手术成功,手术时间平均(20±5)min,出血量(10±2)ml,术后发生切口疼痛需药物干预者5例(2.5%)。腹胀需药物干预者6例(3.0%)。平均住院时间2 d,术后随访6个月~1年,患者恢复可,无明显远期并发症发生。结论腹腔镜经脐部单一切口联合疝气针治疗精索静脉曲张切口小、恢复快、无明显并发症,安全有效。

Clinical observation of laparoscopic single-incision combined with hernia needle in treatment of varicocele

Objective To observe the clinical efficacy of laparoscopic unilateral incision combined with hernia needle in treatment of varicocele.Methods From October 2016 to January 2018,200 patients with varicocele underwent laparoscopy umbilical single incision with hernia needle and spermatic vein to record the operation time,blood loss,and operation.Post-incision pain rate and other indicators to evaluate the safety and effectiveness of the surgical approach.Results All the patients underwent operation successfully.The average operation time was(20±5)minutes,the amount of bleeding was about(10±2)ml,5 cases(2.5%)required incision pain after drug intervention,and 6 cases(3.0%)required drug intervention.The average length of hospital stay was 2 days.After 6 months to 1 year of follow-up,the patient recovered and no significant long-term complications.Conclusion Laparoscopy unilateral incision with hernia needle in treatment of varicocele incision is small,rapid recovery,no obvious complications,safe and effective.