摘要
目的探讨针对腹股沟区长段输精管损伤患者，行经腹腔镜引导下联合腹股沟开放行输精管重建术和传统的经下腹部斜切口入路行输精管重建术临床疗效的比较。方法选取2005年3月至2011年5月间，我市多家医院因腹股沟区医源性导致的长段输精管损伤的梗阻性无精子症患者中，接受输精管重建术13例患者的临床资料进行回顾性对比，其中5例为经下腹部斜切口入路行输精管重建术式（单纯开放式组）；8例为经腹腔镜引导下联合腹股沟开放行输精管重建术式（腹腔镜辅助组）。结果两组患者术前和本研究相关的特征参数有可比性；腹腔镜辅助组组平均手术时间较单纯开放组明显缩短，且手术成功率明显提高。结论经腹腔镜引导下联合腹股沟开放行输精管重建术是一种安全、有效、成功率高、值得推广的手术方式。
Objectives To evaluate clinical efficacy of laparoscopiy-assistant inguinal dissected vs single inguinal dissected for spermeduct-reconstruction in patients with obstruction aroospermia after vas deferents trauma. Methods A postspective comparative study was carried out based on mult-clinical data of 13 infertility patients who underwent 7 single inguinal dissected and 8 patients underwent laparoscopic assistant inguinal dissected spermaduct-reconstruction. Results The patients in 2 groups had comparable preoperative characteristic parameters（P〉0.05）. The operation time of laparoscopic assistant group was significant shorter than that of single dissected group. And in laparoscopic assistant group, the successful rate of operation was significant higher than that of another group. Conclusion By laparoscopic assistant inguinal dissected spermaduct-reconstruction operation is a safe, effecative, promising treatment for obstruction aroospermia.
出处
《中国男科学杂志》
CAS
CSCD
2015年第2期46-48,共3页
Chinese Journal of Andrology
