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自1991年4月起,我们采用鞘膜切除术治疗睾丸鞘膜积液14例,效果满意,报告如下。 1 资料与方法 本组14例,年龄6～80岁,病史1～20年。鞘膜积液4cm×4cm×5cm～10cm×10cm×15cm。 在阴囊皮肤无血管区作一横形切口,逐层切开,直达睾丸鞘膜壁层。仔细止血。在精索内筋膜与鞘膜壁层之间稍加分离,以便于钳夹鞘膜。切开鞘膜,钳住鞘膜边缘,手指顶住鞘膜内侧,象剥离疝囊一般将鞘膜壁层与精索内筋膜分离,直达离鞘膜反折线1cm处。将分离出的鞘膜全部切除。切缘用1号丝线连续锁边缝合,有出血处加“8”字形缝扎止血。皮片引流,缝合筋膜、皮肤。伤口加压包扎。
Since April 1991, we used 14 cases of hydrocele testis hydrocele, with satisfactory results, the report is as follows. 1 Materials and Methods The group of 14 patients, aged 6 to 80 years, a history of 1 to 20 years. Hydrocele 4cm × 4cm × 5cm ~ 10cm × 10cm × 15cm. In the scrotum skin avascular area for a transverse incision, layer by layer, direct access to the testis sheath. Carefully stop bleeding. Slight separation between the spermaticus and the sheath of the sheath in order to clamp the sheath. Cut the sheath, clamp the sheath edge, fingers against the sheath medial, like the stripping hernia sac sheath layer and spermatic cord generally separated, 1cm away from the sheath fold line. Will be separated from the sheath excision. Slit edge with No. 1 silk continuous suture, bleeding at plus “8” suture to stop bleeding. Skin drainage, suture fascia, skin. Wound pressure bandaging.