腹腔镜腹股沟疝修补术对睾丸体积和血流灌注影响的临床观察

发布时间：2017-12-31 16:09

本文关键词：腹腔镜腹股沟疝修补术对睾丸体积和血流灌注影响的临床观察　出处：《临床和实验医学杂志》2016年24期 　论文类型：期刊论文

【摘要】：目的观察腹腔镜腹股沟疝修补术对睾丸体积和血流灌注的影响,评估腹腔镜腹股沟疝修补术疗效及安全性。方法 2013年1月至2015年12月,在医院收集行腹腔镜腹股沟疝修补术的患者,共获得40例。对照术前、术后3个月、术后6个月患者患侧睾丸体积(TV)、血浆睾酮水平;对比术前及术后不同时间患侧睾丸包膜动脉(CA)、睾丸动脉(TA)、睾丸内动脉(ITA)血流参数,即血管阻力指数(RI)、舒张末期血液流速(EDV)、收缩期峰值血液流速(PSV);记录并发症发生情况及复发例数。结果与术前相比,术后3个月、6个月患侧睾丸体积、血浆睾酮水平均无明显变化(P0.05)。术后3个月、6个月患者睾丸包膜动脉、睾丸动脉、睾丸内动脉的EDV、RI水平与术前比较均有显著改善(P0.05)。本组共发生6例并发症(15.00%),无1例复发。结论腹腔镜腹股沟疝修补术具有以下优势:对患侧睾丸体积、血浆睾酮水平无显著影响;有助于改善患侧睾丸血流灌注,利于康复;术后并发症少,无复发。
[Abstract]:Objective to observe the effect of laparoscopic inguinal hernioplasty on testicular volume and blood perfusion and evaluate the efficacy and safety of laparoscopic inguinal hernia repair. Methods from January 2013 to December 2015. A total of 40 patients underwent laparoscopic inguinal herniorrhaphy were collected in the hospital. The testicular volume of the affected side was measured before, 3 months after operation and 6 months after operation, and the level of plasma testosterone was measured. The blood flow parameters, vascular resistance index (RI), of testicular capsule artery (CA), testicular artery (TAA) and intra testicular artery (Intra-testicular artery) were compared before and after operation. End diastolic blood flow velocity (EDV) and peak systolic blood velocity (PSV); Results there were no significant changes in testicular volume and plasma testosterone level at 3 and 6 months after operation compared with those before operation (P 0.05). The EDVRI levels of testicular capsule artery, testicular artery and intra-testicular artery were significantly improved after 6 months compared with those before operation (P 0.05). There were 6 cases of complications (15.00%). Conclusion Laparoscopic inguinal herniorrhaphy has the following advantages: there is no significant effect on testicular volume and plasma testosterone level; It is helpful to improve the blood flow perfusion of the affected testis and is beneficial to the rehabilitation. There were few postoperative complications and no recurrence.
【作者单位】：江苏省张家港市中医医院普外科;
【分类号】：R656.21
【正文快照】： 腹股沟疝是常见疾病,目前国内对其发病率的研究较少,部分研究发现该病发病率与性别相关,男性发病率约27%,而女性仅3%左右。近年来国内老年化加重,导致腹股沟疝发病率有所上升,因此腹股沟疝治疗合理化逐渐引起腹部外科重视。腹股沟疝修补术建立于1887年,1986年出现“无张力疝修

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