摘要
目的探讨改良与简化的经脐腹腔镜技术治疗精索静脉曲张的疗效与安全性。方法 2011年7月至2013年1月,应用改良与简化的经脐腹腔镜技术治疗原发性精索静脉曲张患者56例。总结患者手术时间、术中出血量、住院时间,评估术后并发症、阴囊彩超、精液质量和症状改善等情况。结果所有患者手术均获成功,手术时间15-50min,平均（25.7±9.2）min;平均出血小于10mL;住院时间2-5d,平均（3.5±1.2）d。术后随访3-24个月,患者症状和体征有显著改善,46例患者精液质量有显著提高,随访期间无严重并发症发生。结论改良与简化的经脐腹腔镜技术治疗精索静脉曲张安全、有效,并且能够降低设备成本和手术难度。
Objective To evaluate the efficacy and safety of modified and simplified transumbilical laparoscopic technique in the treatment of varicocele.Methods Modified and simplified transumbilical laparoscopic technique was applied in the treatment of 5 6 patients with primary varicocele from July 2011 to January 2013.Then analyzing the operation time,amount of bleeding,hospitaliza-tion time and evaluating scrotal ultrasonography,semen quality and symptoms.Results All surgeries were successful,and the oper-ative time was 15-50 min,an average of（25.7±9.2）min;average amount of bleeding was less than 10 mL;hospital stays was 2-5 days,an average of（3.5±1.2）days.Patients were followed up for 3-24 months after operation.All patients′symptoms and sign significantly alleviated and semen quality in 46 patients was improved,no serious complications occurred during the follow-up peri-od.Conclusion Modified and simplified transumbilical laparoscopic technique is safe and effective in the treatment of varicocele. Moreover,it can reduce the cost of equipment and the difficulty of operation.
出处
《重庆医学》
CAS
CSCD
北大核心
2014年第34期4618-4619,共2页
Chongqing medicine
作者简介
周波（1980-），硕士，主治医师，主要从事泌尿外科研究工作。
通讯作者，Tel：13883831918；Email：sun200801@hotmail．com
