我们自1988年～1997年应用丁胺卡那霉素加强的松龙鞘膜内注射治疗小儿鞘膜积液30例,获得满意效果,现介绍如下。 1 一般资料 本组最小年龄5个月,最大年龄7岁。诊断为睾丸鞘膜积液者25例,精索鞘膜积液3例,交通性鞘膜积液2例。 2 手术方法 患儿取平卧位,用新洁尔灭或无敌消毒液消毒阴囊及会阴,采取无菌操作。用50ml注射器,7号针头潜行穿刺至鞘膜积液最低点,抽取积液至抽不出液体为止,移去针管,注射强的松龙加丁胺卡那混合液,根据年龄,注射丁卡0.05～0.2 g,强的松龙10～25mg,退针后外敷无菌纱布块。 We from 1988 to 1997 application of amikacin enhanced injection of pineal sheath in children with pediatric hydrocele in 30 cases, to obtain satisfactory results, are described below. 1 General Information The minimum age of 5 months in this group, the maximum age of 7 years old. 25 cases diagnosed as testicular hydrocele, spermatic cord effusion in 3 cases, 2 cases of communicative hydrocele. 2 surgical approach to supine, with benzalkonium chloride or invincible disinfectant disinfection of the scrotum and perineum, to take aseptic operation. With 50ml syringe, No. 7 needle sneak puncture to the lowest point of hydrocele, the fluid is drawn until the liquid can not be pumped, remove the needle, injection of prednisolone plus amikacin mixture, according to age, Dinka injection 0.05 ~ 0.2 g, prednisolone 10 ~ 25mg, topical sterile gauze after needle withdrawal.