腹壁吻合器辅助单孔单通道腹腔镜治疗精索静脉曲张的疗效分析
Efficacy of abdominal wall stapler assisted single-port laparoscopy in the treatment of varicocele
裴禹涵 1何昱莹 1耿申 1吉振帅 1张鹏程 1谢程 1支运来 1蔡成宽 1孙方浒1
作者信息
- 1. 徐州医科大学附属连云港医院(连云港市第一人民医院)泌尿外科(江苏连云港,222000)
- 折叠
摘要
目的:分析在腹壁吻合器辅助下通过单孔单通道腹腔镜治疗精索静脉曲张的效果.方法:选取2021年6月-2023年2月徐州医科大学附属连云港医院通过腹壁吻合器辅助单孔单通道腹腔镜与传统三孔腹腔镜治疗精索静脉曲张的80例患者,采用随机区组设计将80例患者分为试验组和对照组,试验组给予腹壁吻合器辅助单孔单通道腹腔镜手术治疗,对照组给予常规传统腹腔镜手术治疗,比较2组患者的手术时间、术中出血量、术后住院时间、术后Kiyak问卷评分、手术费用、视觉模拟量表(VAS)评分及术后6个月的精液相关检查.结果:2组患者经过不同的手术方式后,术后Kiyak问卷评分、VAS评分、术中出血量比较差异均有统计学意义(P＜0.05),而手术时间、术后住院时间、手术治疗费用及精液相关检查比较差异均无统计学意义(P＞0.05).结论:相比传统腹腔镜手术治疗精索静脉曲张,腹壁吻合器辅助下的单孔单通道腹腔镜降低了手术难度,且更加安全、可行,且被广大患者接受.
Abstract
Objective:To analyze the effect of single-port laparoscopic varicocele treatment assisted by abdom-inal wall stapler.Methods:The clinical data of 80 patients with varicocele treated by abdominal wall stapler assis-ted single-port laparoscopic surgery and traditional three-port laparoscopic surgery in Lianyungang Hospital Affili-ated to Xuzhou Medical University from June 2021 to February 2023 were collected.The 80 patients were divided into group A and group B.Group A was treated by abdominal wall stapler assisted single-port single-channel lapa-roscopic surgery.The operation time,intraoperative blood loss,postoperative hospital stay,postoperative Kiyak questionnaire score,operation cost,visual analogue scale(VAS)and semen related examination were compared between the two groups.Results:There were significant differences in postoperative Kiyak questionnaire score,visual analogue scale(VAS),and intraoperative blood loss between the two groups after different surgical methods(P＜0.05).There were no significant differences in operation time,postoperative hospital stay,surgical treat-ment cost or semen related examinations between the two groups(P＞0.05).Conclusion:Compared with tradi-tional laparoscopic surgery in the treatment of varicocele,single-port laparoscopic surgery assisted by abdominal wall stapler reduces the difficulty of operation,and is safer,more feasible and acceptable.
关键词
单孔单通道腹腔镜/腹壁吻合器/精索静脉曲张/美容效果/微创手术Key words
single-port single-channel laparoscopy/abdominal wall stapler/varicocele/cosmetic effect/mini-mally invasive surgery引用本文复制引用
出版年
2024
NETL
NSTL
万方数据