论文部分内容阅读
目的总结经阴囊上方小切口手术治疗小儿交通性鞘膜积液的疗效及安全性,探讨此手术的技巧。方法对我院76例小儿交通性鞘膜积液患儿施行经阴囊上方小切口鞘膜囊高位结扎术,总结和分析相关治疗经验。结果本组76例手术均获得成功,平均手术时间为32.3分钟(单侧交通性鞘膜积液的手术时间为25-45分钟),术中出血量小于5ml,切口均为I/甲愈合。在术后,有10例患儿发生了轻度阴囊水肿,但均在72小时后自行恢复。本组患儿在术后均未发生阴囊血肿。对76例患儿进行3个月至2年的随访,无并发症发生。结论经阴囊上方小切口手术治疗小儿交通性鞘膜积液的效果好,创伤小,并发症少,切口隐蔽,美观性好,具有较高的应用价值,值得在临床上推广。
Objective To summarize the curative effect and safety of pediatric traumatic hydrocele by small incision above the scrotum and to explore the technique of this operation. Methods In our hospital, 76 pediatric patients with pediatric hydrocele were treated with high ligation of the small incision scapular sac above the scrotum and the related treatment experience was summarized and analyzed. Results The operation of 76 cases were successful in this group. The average operation time was 32.3 minutes (operation time of unilateral hydrocele was 25-45 minutes). The amount of bleeding during operation was less than 5ml. The incision was all I / A healing. After the operation, mild scrotal edema occurred in 10 patients, but recovered spontaneously after 72 hours. The group of children in the postoperative did not occur scrotal hematoma. 76 cases of children were followed up for 3 months to 2 years without complications. Conclusion The small incision above the scrotum surgery for children with hydrocele has a good effect, less trauma, fewer complications, incision concealment, good aesthetics, and has high value, it is worth in the clinical promotion.