孝晨 1成赋斌 1陈显维 1茹晶晶 1甘振良 1余志军1
作者信息
- 1. 510507 广州,武警广东总队医院外一科
- 折叠
摘要
Abstract
Objective To evaluate the therapeutic effect of endovascular electrocoagulation(EE)for low-position spermatic vein under a microscope.Methods A retrospective analysis was conducted on the clinical data of 314 patients with varicocele who un-derwent surgery Guangdong Provincial Corps Hospital of Chinese People's Armed Police Force from January 2016 to October 2020.According to the surgical technique,the patients were divided into an EE group(n=155)and a spermatic vein ligation(TL)group(n=159).The operation time,postoperative hospital stay,perioperative complications(e.g.,scrotal edema,pain),and the inci-dence of long-term complications at 12-month follow-up(e.g.,hydrocele,epididymitis,recurrence,testicular atrophy)were com-pared between the two groups.Results The mean operation time was significantly shorter in the EE group(66.45±14.49 minutes)than in the TL group(81.89±12.36 minutes),and the postoperative hospital stay was(4.97±1.11)d,shorter than that of TL group(5.37±1.30)d,with statistically significant differences(P<0.05).The incidence of postoperative scrotal edema was 1.29%(2/155)in the EE group,lower than the 5.03%(8/159)in the TL group,but the difference was not statistically significant(χ2=3.41,P=0.065).No significant differences were found between the two groups in postoperative pain Numerical Rating Scale(NRS)scores,incidence of hydrocele EE 0.65%(1/155)vs TL 1.89%(3/159),epididymitis EE 4.52%(7/155)vs TL 4.40%(7/159),P>0.05,recurrence rate EE 1.94%(3/155)vs TL 2.52%(4/159),or testicular atrophy EE 0.65%(1/155)vs TL 0%,P>0.05).Conclusions Endovascular electrocoagulation for low-position spermatic vein under a microscope is a safe and effective surgical method.Compared with traditional ligation,it can significantly reduce operation time,potentially decrease the risk of postoper-ative scrotal edema,and achieve comparable long-term outcomes,offering advantages of simpler operation.关键词
精索静脉曲张/显微外科手术/血管内电凝术/手术后并发症/疗效Key words
varicocele/microsurgery/endovascular electrocoagulation/postoperative complication/therapeutic effect分类
医药卫生
