腹腔镜和开放手术治疗精索静脉曲张80例的临床效果对比分析.docVIP

腹腔镜和开放手术治疗精索静脉曲张80例的临床效果对比分析 　　摘要：目的： 比较腹腔镜和开放手术治疗精索静脉曲张的临床效果。方法： 选取精索静脉曲张患者80例，将其随机分为观察组和对照组各40例，观察组患者实施腹腔镜精索静脉高位结扎术，对照组采用开放手术经腹膜后精索静脉高位结扎术，比较两组手术情况、并发症及临床疗效。结果： 观察组手术时间、术中出血量、住院时间、住院费用均明显少于对照组，两组比较差异具有统计学意义，Plt;0.01;且观察组止痛药使用率、并发症发生率也低于对照组，两组对比差异明显，Plt;0.05;观察组患者治疗后精液质量提高率为95.0%，对照组为80.0%，两组比较差异有统计学意义，Plt;0.05。结论： 腹腔镜治疗精索静脉曲张较开放手术具有手术时间短、创伤小、恢复快、并发症少、费用低等优点，且患者精液质量提高率高，安全有效，值得临床推广。 　　关键词：精索静脉曲张; 精索静脉高位结扎术; 腹腔镜;开放手术 　　Abstract： objective： to compare laparoscopic and open surgery clinical effect for the treatment of varicocele. Methods： choose 80 patients with varicocele were randomly divided into observation group and control group， 40 cases observation group of patients with laparoscopic ligation of spermatic vein high implementation， control group adopts open surgery after retroperitoneal spermatic vein high ligation， comparing two groups of surgery， complications and clinical curative effect. Results： observation group operation time， intraoperative blood loss， hospital stay， hospital expenses were significantly less than the control group， two groups of comparison difference is statistically significant， P lt; 0.01; And the observation group painkillers utilization rate， complication rate is lower than the control group， significant difference comparing the two groups， P lt; 0.05; Observation group after treatment in patients with semen quality improvement rate was 95.0%， the control group was 80.0%， the more similar between the two groups have statistical significance， P lt; 0.05）. Conclusion： laparoscopic treatment of varicocele compared with open surgery with shorter operation time， small trauma， rapid recovery， fewer complications， and low cost， and patients semen quality improvement rate is high， safe and effective， worthy of clinical promotion. 　　Keywords： varicocele. Spermatic vein high ligation; Laparoscope; Open surgery 　　精索静脉曲张指因乙状结肠或主动脉、肠系膜上动脉压迫等原因引起精索的蔓状静脉丛回流不畅或静脉瓣膜功能不全导致静脉回流，从而使局部静脉伸长、扩张和迂曲，阴囊内形成血管性团块[1]。精索静脉曲张是泌尿外科常见疾病，多发于青壮年男性，发病率约15%，可影