论文部分内容阅读
目的:比较单孔腹腔镜手术与开放手术治疗精索静脉曲张的效果。方法:回顾性分析2010年1月~2013年12月接受手术治疗的120例精索静脉曲张患者的临床资料,其中开放手术58例,单孔腹腔镜手术62例,比较其手术时间及住院时间,使用视觉疼痛评分表(VAS)对患者入院时和手术后3个月阴囊不适和术后3天手术切口疼痛进行评分,并随访3个月,记录其并发症。结果:开放手术与单孔腹腔镜手术相比,单孔腹腔镜手术时间长于开放手术,但住院时间的差异无统计学意义;开放手术术后3天手术切口疼痛更明显。两种术式均能改善阴囊不适,差异无统计学意义。两种术式出血量均较少,术后均未出现睾丸萎缩。结论:开放手术和经脐单孔腹腔镜手术均是治疗精索静脉曲张的良好方式,单孔腹腔镜手术的创伤更加轻微。
Objective: To compare the effect of single-hole laparoscopic surgery and open surgery in the treatment of varicocele. Methods: The clinical data of 120 cases of varicocele undergoing surgery from January 2010 to December 2013 were retrospectively analyzed. Among them, 58 cases were open surgery and 62 cases were single-hole laparoscopic surgery. The operation time and hospital stay were compared The visual acuity score (VAS) was used to assess the patients’ scrotal discomfort at admission, 3 months after surgery and 3 days after operation. The patients were followed up for 3 months and the complications were recorded. Results: Compared with single-hole laparoscopic surgery, single-hole laparoscopic surgery was longer than open surgery, but there was no significant difference in hospitalization time. Operative incision pain was more obvious 3 days after open surgery. Scrotum discomfort can be improved by two kinds of operation, the difference was not statistically significant. Two kinds of surgical bleeding less, no postoperative testicular atrophy. CONCLUSION: Both open surgery and single-hole transthoracic esophageal surgery are good ways to treat varicocele. Single-hole laparoscopic surgery is more traumatic.