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目的探索一种治疗小儿鞘膜积液的手术方法。方法以内环与阴茎根部连线为切口线,根据不同类型的鞘膜积液选择切口的位置和长短,高位结扎,悬吊未闭合的鞘状突,远端鞘膜开窗式部分切除,排尽鞘膜积液后旷置。结果本组415例,术后403例切口Ⅰ类愈合,12例切口皮下脂肪液化;术后有39例阴囊轻度水肿。随访0.5～2年,平均1.2年,随访率82%,未发现复发、睾丸萎缩、医源性隐睾等情况。结论本组手术方法简单,安全,疗效确切,容易掌握。术后并发症少,复发率低,对不同类型的鞘膜积液均能处理。
Objective To explore a surgical treatment of pediatric hydrocele. Methods The connection between the inner ring and the root of the penis was incision line. According to the different types of hydrocele, the position and length of the incision were selected. High ligation and suspension of the unoccluded sheath process were performed. Hydrocapsule hydroconcrete after exclusion. Results 415 cases of this group, 403 cases of postoperative incision healed in Class I, 12 cases of subcutaneous fat liquefaction; postoperative 39 cases of mild scrotal swelling. Follow-up 0.5 to 2 years, an average of 1.2 years, the follow-up rate of 82%, no recurrence, testicular atrophy, iatrogenic cryptorchidism and so on. Conclusion This group of surgical methods is simple, safe, effective, easy to grasp. Less postoperative complications, the recurrence rate is low, for different types of hydrocele can handle.