摘要
目的探讨经外环横行小切口行鞘状突高位结扎治疗小儿鞘膜积液的手术方法与疗效。方法回顾性分析2009年10月~2015年12月间我科经外环横行小切口行鞘状突高位结扎术的80例鞘膜积液患儿临床资料,平均年龄3.8(1~9)岁。右侧病变45例,左侧病变35例,其中交通性鞘膜积液66例,精索鞘膜积液10例,睾丸鞘膜积液3例,复发鞘膜积液1例。结果本组80例患儿全部治愈,平均手术时间15(10~25)min,平均出血量1.5(0.5~2)ml。术后平均1.5(1~3)d出院。无输精管及精索血管损伤、医源性睾丸回缩、睾丸萎缩等并发症发生。全部病例随访6个月~1年无复发。结论经外环横行小切口行鞘状突高位结扎治疗小儿鞘膜积液疗效确切,且损伤小,恢复快,并发症少。
Objective To explore the surgical therapy and effect of high ligation of vaginal process by small transverse incision via superficial ring for the treatment of vaginal hydrocele in child. Methods The clinical data of 80 children with hydrocele performed high ligation of vaginal process through small transverse incision via superficial ring were analyzed retrospectively. The children aged from 1 to 9 years with an average of 3.8. The lesion located in fight lateral in 45 eases and left in 35 cases. Among them, communicating hydrocele testis was 66 cases, funicular hydrocele was 10 cases, testicular hydrocele was 3 cases and recurrenee of hydrocele was 1 case. Results All 80 children cured after the surgery. The operation time was 10 to 25 minutes with an average of 15 minutes, and the blood loss volume was 0.5 to 2 ml with an average of 1.5 ml. The time discharged from hospital was 1 to 3 days with an average of 1.5 days. No serious complications such as injury of deferent duct and spermatic cord vessel, iatrogenic testis retraction and testis atrophy were found. No one was found recurrence during 6 months to 1 year follow-up. Conclusion The high ligation of vaginal process by small transverse incision via superficial ring is an effective surgery for pediatric hydrocele with mini-trauma, fast recovery and less complication.
作者
舒向晖
SHU Xiang-hui(Department of Urology, Chengdu Tianfu New District People ＇s Hospital, Chengdu 610213, Sichuan, China)
出处
《中国现代手术学杂志》
2017年第1期62-64,共3页
Chinese Journal of Modern Operative Surgery
