【摘要】 目的:探讨经脐单孔腹腔镜下用丝线结扎法治疗精索静脉曲张的疗效。方法:回顾分析我院采用经脐单孔腹腔镜下丝线结扎法治疗20例精索静脉曲张与24例既往三孔腹腔镜法的临床效果对比。结果:所有手术均获成功,单孔手术时间20～35 min,平均28 min,术后平均住院时间2 d,三孔手术15～28 min,平均20 min,平均住院时间3 d。单孔手术与三孔手术后症状消失率分别为75%和67%,无显著差异(P>0.05),术后患者康复快,疗效满意。结论:经脐单孔腹腔镜下丝线结扎法治疗精索静脉曲张安全可行,瘢痕少可减少体内异物存留,比传统腹腔镜更微创。更多还原

【Abstract】 Objective: To evaluate the clinical effect of single-port laparoscopic ligation(SPLL) with suture silk for the management of varicocele.Methods: We analyzed the clinical effects of SPLL with suture silk in the treatment of 20 cases of varicocele,and compared them with those of conventional three-port laparoscopic ligation(TPLL) for another 24 varicocele patients.Results: All the operations were successful.The operation time was 20-35(mean 28) minutes and the hospital stay was 2 days for SPLL,as compared with 15-28(mean 20) minutes and 3 days for TPLL.The cure rate was 75% for the former,and 67% for the latter,with no signification difference between the two groups(P>0.05).Conclusion: SPLL with suture silk for the treatment of varicocele has more advantages over TPLL for minimal invasiveness,faster recovery,and less scarring and extraneous residual.更多还原