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1 临床资料 患者,32岁,因男扎术后左侧阴囊肿胀3个月,肿块2个月来诊。3月前,患者在本站行双侧输精管结扎术,手术顺利。术后2周自觉阴囊胀痛,2个月前发现左侧附睾处肿块,曾在本站和上级医院经抗炎药物加理疗治疗有好转,但近期自觉症状加重来复诊。 查体:T37℃,P86次/min,R20次/min,BP16/10kPa.发育正常,精神忧虑,心肺(-),肝脾未触及。双侧睾丸、附睾大小质地正常,左侧阴囊下坠,左侧精索近附睾处可触到2.5cm×2.3cm大的囊性肿物, 有触痛,透光试验阳性。实验室检查血常规正常.诊断精索鞘膜积液。 处理:行囊肿穿刺抽出10ml淡黄色液体.冲洗后囊内注入1:1消痔灵0.5％利多卡因3ml,术毕回家。术后1个月复查痊愈,至今未见复发。2体会 输精管结扎术并发感染、血肿、痛性结节、精子
A clinical data patients, 32 years old, after the male scrotum left scrotum swelling 3 months, mass 2 months to diagnosis. 3 months ago, patients in this site bilateral vasectomy, the surgery went well. 2 weeks after surgery conscious scrotal pain, 2 months ago found the left epididymis mass, had in this site and superior hospitals by anti-inflammatory drugs plus treatment has improved, but recent symptoms worsened to referral. Examination: T37 ℃, P86 times / min, R20 times / min, BP16 / 10kPa. Normal development, mental anxiety, cardiopulmonary (-), liver and spleen not touched. Bilateral testis, epididymis normal texture size, the left scrotum fall, the left spermaticus near the epididymis can reach 2.5cm × 2.3cm large cystic mass, tenderness, light transmission test was positive. Laboratory tests of blood normal. Diagnosis of spermatic cord effusion. Treatment: cyst puncture extract 10ml light yellow liquid. After washing the cyst into 1: 1 Xiaozhiling 0.5% lidocaine 3ml, surgery completed. 1 month after the review recovered, so far no recurrence. 2 experience vasectomy complicated by infection, hematoma, painful nodules, sperm