腹腔镜下完全腹膜外补片植入术和腹腔镜经腹腹膜前疝修补术对男性腹股沟疝患者精索血管及睾丸功能的影响

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Abstract Objective To investigate the effect of laparoscopic totally extraperitoneal prosthesis (TEP) and laparoscopic transperitoneal hernioplasty (TAPP) on spermatic cord blood vessels and testicular function in male patients with inguinal hernia.Methods A total of 86 male inguinal hernia patients admitted to our hospital from January 2016 to January 2019 were selected as the research objects.According to the random number table method,they were divided into TEP group (43 cases) and TAPP group (43 cases).The operation and hospitalization,the function of spermatic blood vessels and testis before and after operation,and the complications were compared between the two groups.Results There were no significant differences in the length of operation,intraoperative blood loss and hospital stay between the two groups (P＞0.05);4 weeks after surgery,there were no significant differences in the diameter and velocity of spermatic artery between the two groups (P＞0.05);the diameter of spermatic vein in TAPP group was wider than that in TEP group,and the velocity of blood flow was slower than that in TEP group,and the differences were statistically significant(P＜0.05);4 weeks after surgery， there were no significant differences between the two groups in semen volume,sperm density,sperm survival rate and serum testosterone concentration (P＞0.05);there was no significant difference in the total incidence of complications between the two groups (P＞0.05).Conclusion For male inguinal hernia patients,the efficacy and safety of TEP and TAPP are comparable,and there is no significant effect on spermatic artery and testicular function,but the effect of TEP on spermatic vein is less than that of TAPP.

Key words： Laparoscopic totally extraperitoneal prosthesis Laparoscopic transperitoneal hernia repair Spermatic cord vessels Testicular function

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	WANG You-hua
	ZHOU Xue-lu
	ZHANG Huan-bin

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WANG You-hua,ZHOU Xue-lu,ZHANG Huan-bin. Effect of totally extraperitoneal prosthesis and transperitoneal hernioplasty on spermatic vessels and testicular function in male patients with inguinal hernia[J]. 中国当代医药, 2020, 27(30): 96-98转102.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I30/96

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