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目的:探讨局部麻醉下2cm小切口微创治疗成人睾丸鞘膜积液的手术技巧和疗效。方法:选取12例成人睾丸鞘膜积液患者,局部麻醉下经阴囊皮肤小切口行鞘膜积液手术治疗。总结手术技巧,同时结合相关文献分析该新手术方式治疗成人睾丸鞘膜积液的疗效。结果:平均手术时间18(15~24)min。12例患者手术均获成功,术后随访未出现血肿、感染、持续性肿胀、慢性疼痛、阴囊硬结及附睾损伤等并发症。结论:局麻下小切口微创治疗成人睾丸鞘膜积液手术时间短、术后并发症少,有一定的临床应用价值。
Objective: To investigate the surgical technique and curative effect of minimally invasive 2 cm small incision for adult testicular hydrocele under local anesthesia. Methods: Twelve cases of adult hydrocele were enrolled in this study. Surgical treatment of hydrocele was performed through the small scrotal skin incision under local anesthesia. Summarize the surgical skills, combined with the relevant literature analysis of the new surgical treatment of adult hydrocele efficacy. Results: The average operation time was 18 (15 ~ 24) min. All 12 patients underwent surgery successfully. No postoperative hematoma, infection, persistent swelling, chronic pain, scrotal sclerosis and epididymal injury were observed. Conclusion: The minimally invasive minimally invasive operation under local anesthesia in adult patients with hydrocele of testis is short, and there are few postoperative complications. It has certain clinical value.