[1]余伟民,阮远,饶婷,等.青少年腹腔镜精索静脉高位结扎术:选择性结扎或集束结扎[J].中华腔镜泌尿外科杂志(电子版),2016,10(05):345-347.[doi:10.3877/cma.j.issn.1674-3253.2016.05.012 ]
　Yu Weimin,Ruan Yuan,Rao Ting,et al.Laparoscopic varicocelectomy in adolescent: cluster ligation or selective ligation[J].,2016,10(05):345-347.[doi:10.3877/cma.j.issn.1674-3253.2016.05.012 ]
点击复制

青少年腹腔镜精索静脉高位结扎术:选择性结扎或集束结扎()
分享到：

中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
10
期数:
2016年05期
页码:
345-347
栏目:
临床研究
出版日期:
2016-11-05

文章信息/Info

Title:
Laparoscopic varicocelectomy in adolescent: cluster ligation or selective ligation
作者:
余伟民; 阮远; 饶婷; 葛名欢; 李浩勇; 程帆; 张孝斌
430060武汉大学人民医院泌尿外科
Author(s):
Yu Weimin;  Ruan Yuan; Rao Ting;  Ge Minghuan;  Li Haoyong;  Cheng Fan;  Zhang Xiaobin. Department of Urology;  Renmin HospitalofWuhan University;  Wuhan 430060;  China
Department of Urology, Renmin HospitalofWuhan University, Wuhan 430060, China
关键词:
腹腔镜; 精索静脉曲张; 结扎; 青少年
DOI:
10.3877/cma.j.issn.1674-3253.2016.05.012
摘要:
目的探讨青少年腹腔镜下精索静脉高位结扎术中精索选择性动脉保留和集束结扎的疗效。方法 2010年 1月至 2013年 12月，我院实施腹腔镜下精索静脉高位结扎术 72例，术中轻柔地钝性分离精索内动脉并加以保留，动脉分离困难则只分离可识别的淋巴管，然后行集束结扎。记录两组手术时间，观察术后疗效。结果动脉保留 31例，集束结扎 41例。动脉保留组手术时间 38.2min，集束结扎组手术时间 36.5min，术后阴囊水肿两组各 2例，动脉保留组 1例复发，集束结扎组无复发，组间差异无统计学意义。术后 1年，动脉保留组 66.7%术前患侧萎缩的睾丸获得补偿性生长，集束结扎组为 56.3%（P>0.05）。结论腹腔镜精索静脉集束结扎安全有效，对动脉保留困难的患者应及时施行集束结扎。

参考文献/References:

[1] 来晓东 ,邵靖雯 ,郭刚 ,等.高选择性腹腔镜精索内静脉结扎术治疗精索静脉曲张的疗效研究 [J].微创泌尿外科杂志 ,2015,4 (3):140-142.
[2] 潘连军 ,潘锋 ,张兴源 ,等.显微外科曲张精索静脉结扎术治疗精索静脉曲张 (附 94例报告 )[J].中华男科学杂志,2012,18(5): 416-418.
[3] Renaux-PetelM,VivierPH,ComteD,et al.Idiopathic varicocele in adolescents: risks of the inguinal approach [J]. Eur J Pediatr Surg,2013,23(4):285-288.
[4] 陈国强 ,蒋冬非 ,陈晨 ,等.精索内动静脉同时结扎治疗精索静脉曲张的临床研究[J].中华男科学杂志,2010,16(2):154-157.
[5] StudentV, Zátura F, Scheinar J, et al. Testicle hemodynamics in patients after laparoscopic varicocelectomy evaluated using color Dopplersonography[J].EurUrol,1998,33(1):91-93.
[6] 涂响安 ,吕坤龙 ,赵亮 ,等.微型血管多普勒在改良腹股沟下显微精索静脉结扎术中的应用:附视频 [J].中华腔镜泌尿外科杂志:电子版,2014,8(6):456-459.
[7] Fast AM, Deibert CM, Van Batavia JP, et al. Adolescent varicocelectomy: does artery sparing influence recurrence rate and/orcatch-upgrowth?[J].Andrology,2014,2(2):159-164.
[8] Kocvara R, Dolezal J, Hampl R, et al. Division of lymphatic vessels at varicocelectomy leads to testicular oedema anddecline in testicular function according to the LH-RH analogue stimulationtest[J].EurUrol,2003,43(4):430-435.
[9] Liang Z, Guo J, Zhang H, et al. Lymphatic sparing versus lymphatic non-sparing laparoscopic varicocelectomy in children andadolescents: asystematic reviewand meta-analysis [J]. Eur J PediatrSurg,2011,21(3):147-153.
[10]丁强红 ,刘涛 ,何灼彬 ,等.腹腔镜下淋巴管保留在精索静脉高位结扎术中的应用 [J/CD].中华腔镜泌尿外科杂志:电子版 , 2014,8(6):452-455.
[11] Keene DJ, Cervellione RM. Intravenous methylene blue venography during laparoscopic paediatric varicocelectomy [J]. J Pediatr Surg, 2014, 49(2): 308-311; discussion 311.

相似文献/References:

[1]高新,邱剑光,周祥福,等.保留控尿功能的腹腔镜前列腺癌根治术[J].中华腔镜泌尿外科杂志(电子版),2007,(01):4.
　GAO Xin,QIU Jing-guang,ZHOU Xiang-fu,et al.Continence-Sparing Laparoscopic Radical Prostatectomy[J].,2007,(05):4.
[2]高新,司徒杰,黄文涛,等.腹腔镜阴道前后壁补片治疗女性盆腔脏器脱垂的疗效分析[J].中华腔镜泌尿外科杂志(电子版),2007,(01):8.
　GAO Xin,SITU Jie,HUANG Wen-tao,et al.Comparison of laparoscopy sacrocolpopexy with anterior vaginal suspension for the treatment of vaginal vault prolapse[J].,2007,(05):8.
[3]黄健,韩金利,许可慰,等.三套管法后腹腔镜下肾部分切除术[J].中华腔镜泌尿外科杂志(电子版),2007,(01):11.
　HUANG Jian,HAN Jin-li,XU Ke-wei,et al.Retroperitoneal laparoscopic partial nephrectomy through three ports[J].,2007,(05):11.
[4]陈凌武,王声政,陈炜,等.手辅式腹腔镜在复杂的根治性膀胱切除中的应用[J].中华腔镜泌尿外科杂志(电子版),2007,(01):15.
　CHEN Ling-wu,WANG Sheng-zheng,CHEN Wei,et al.Effect of the hand assisted laparoscopic radical cystectomy in technically challenging cases[J].,2007,(05):15.
[5]刘春晓,郑少波,徐亚文,等.腹腔镜下根治性全膀胱切除术100例总结[J].中华腔镜泌尿外科杂志(电子版),2007,(01):19.
　LIU Chun-xiao,ZHENG Shao-bo,XU Ya-wen,et al.Laparoscopic radical cystectomy (report of 100 cases)[J].,2007,(05):19.
[6]周建华,高新,蔡育彬,等.腹腔镜前列腺癌根治术126例3年随访结果[J].中华腔镜泌尿外科杂志(电子版),2007,(01):22.
　ZHOU Jian-hua,GAO Xin,CAI Yu-bin,et al.Results of study of 126 cases underwent laparoscopic radical Prostatectomy during three years' follow-up[J].,2007,(05):22.
[7]莫曾南,杨占斌,白先忠.腹腔镜诊治未触及隐睾21例报告[J].中华腔镜泌尿外科杂志(电子版),2007,(01):27.
　MO Zeng-nan,YANG Zhan-bin,BIA Xian-zhong.Laparoscopic diagnosis and treatment of nonpalpable testis (21 cases report)[J].,2007,(05):27.
[8]刘吉元,林瑜,刘扬,等.经后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿[J].中华腔镜泌尿外科杂志(电子版),2007,(01):33.
　LIU Ji-yuan,LIN Yu,LIU Yang,et al.Retroperitonescopic ligation of renal lymphatic vessels for the treatment of chyluria[J].,2007,(05):33.
[9]陈光,朱光炜,罗建仕,等.腹腔镜腹膜后淋巴结切除术在睾丸恶性肿瘤治疗中的应用价值[J].中华腔镜泌尿外科杂志(电子版),2007,(01):36.
　CHEN Guang,ZHU Guang-Wei,LOU Jian-shi,et al.laparoscopic retropenitoneal lymph node dissection in the treatment of testicular tumor[J].,2007,(05):36.
[10]林瑜,刘吉元,潘伟民,等.腹腔镜精索静脉高位结扎术治疗精索静脉曲张[J].中华腔镜泌尿外科杂志(电子版),2007,(01):43.
　LIN Yu,LIU Ji-yuan,PAN Wei-min,et al.Laparoscopic ligation of spermatic veins in treatment of varicocele[J].,2007,(05):43.
[11]唐松林,张晓华,王艳红,等.腹腔镜精索血管集束状丝线结扎治疗精索静脉曲张疗效分析[J].中华腔镜泌尿外科杂志(电子版),2008,(01):49.
　TANG Song-lin,ZHANG Xiao-hua,WANG Yan-hong,et al.Treatment of varicocele by laparoscopic cluster ligation with suture(report of 23 cases)[J].,2008,(05):49.
[12]程德志,郭文邦.腹腔镜保留睾丸动脉的精索静脉高位结扎术(附43例报告)[J].中华腔镜泌尿外科杂志(电子版),2008,(04):43.
　CHEN De-zhi,GUO Wen-Bang.Testic artery sparing laparoscopic varicocele high ligatio[J].,2008,(05):43.
[13]张炎,黄文涛,杨补,等.传统经腹股沟、显微技术和腹腔镜精索静脉结扎术后并发症发生率的对比研究[J].中华腔镜泌尿外科杂志(电子版),2008,(04):47.
[14]孙明,庞健,廖勇彬,等.小切口腹膜外入路腹腔镜精索内静脉高位结扎术[J].中华腔镜泌尿外科杂志(电子版),2009,(03):231.
　SUN Ming,PANG Jian,LIAO Yong-bin,et al.One retroperitoneal incision approach by laparoscopy for the treatment of varicocele[J].,2009,(05):231.
[15]胡传义,喻俊峰,李爱军,等.腹腔镜精索血管集束状结扎与改良Palomo术治疗精索静脉曲张的疗效比较[J].中华腔镜泌尿外科杂志(电子版),2009,(04):344.
　HU Chuan-yi,YU Jun-feng,Li Ai-jun,et al.The comparation between laparoscopic cluster high ligation of internal spermatic veins and modified Palomo operation[J].,2009,(05):344.
[16]彭明栋,陈永生,陈云峰,等.经脐单切口腹腔镜下高位结扎术治疗精索静脉曲张[J].中华腔镜泌尿外科杂志(电子版),2010,(06):501.
[17]张斌 常德辉 王养民 蓝天 苗鹏程 赵建波.自制单孔腹腔镜与显微外科治疗精索静脉曲张的临床疗效及并发症对比[J].中华腔镜泌尿外科杂志(电子版),2014,(01):45.
　Zhang Bin,Chang Dehui,Wang Yangmin,et al.The self-made single-port laparoscopy versus microsurgery in the treatment of varicocele: a comparative study[J].,2014,(05):45.
[18]王晓利,王璟琦,王东文.腹腔镜手术治疗精索静脉曲张的进展[J].中华腔镜泌尿外科杂志(电子版),2018,12(02):139.[doi:10.3877/cma.j.issn.1674-3253.2018.02.017 ]

备注/Memo

备注/Memo:
通讯作者：程帆，Email:646064793@qq.com
更新日期/Last Update: 2016-10-30