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目的评价小切口手术在儿童鞘膜积液及腹股沟疝中的临床治疗效果。方法 92例鞘膜积液(均为交通性,62例)和腹股沟疝(30例)患儿,在手术过程中均在腹股沟作一长1.0~1.5 cm的横切口,并对鞘状突或疝囊进行高位结扎,对全部患儿的术中及术后情况、临床疗效及复发情况进行观察。结果 92例患儿平均手术时间(12.8±6.8)min,术中平均出血量(0.4±0.2)ml,平均切口长(1.2±0.2)cm,手术过程中未出现致精索血管破裂及输精管损伤的操作。全部患儿平均住院时间(2.9±0.5)d。对全部患儿进行电话或门诊随访,92例患儿无一例出现复发及睾丸萎缩情况。结论在儿童鞘膜积液及腹股沟疝中采用小切口治疗能有效减少术中出血量,加速患儿创口的愈合,手术效果确切,值得临床推广应用。
Objective To evaluate the clinical effect of small incision in pediatric hydrocele and inguinal hernia. Methods Ninety-two children with hydrocele (both sexually transmitted diseases, 62 cases) and inguinal hernia (30 cases) underwent transverse incision of 1.0-1.5 cm in the inguinal region during operation. High ligation of hernia sac, all children in the postoperative and postoperative conditions, clinical efficacy and recurrence were observed. Results The average operation time (12.8 ± 6.8) min, average intraoperative blood loss (0.4 ± 0.2) ml and mean incision length (1.2 ± 0.2) cm in 92 patients were similar. No rupture of vasoconstriction and vas deferens during operation The operation. All children with an average length of stay (2.9 ± 0.5) d. Telephone or outpatient follow-up was performed on all children. None of the 92 children developed recurrence and testicular atrophy. Conclusion Small incision in children with hydrocele and inguinal hernia can effectively reduce the amount of bleeding during operation and accelerate the wound healing in children. The operation is effective and worthy of clinical application.