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目的:研究单孔腹腔镜下经皮腹膜外结扎术(LPEC)治疗小儿交通性鞘膜积液对输精管走向、睾丸容积及血供的影响。方法:2013年6月至2014年6月,共有92例男性患儿,术前诊断为单侧交通性鞘膜积液,行单孔LPEC。术前、术后1个月和6个月通过超声了解输精管走向、睾丸容积及血供。结果:所有手术均获得成功,无中转开放手术,无严重围手术期并发症。术后随访6个月,超声检查提示均无输精管扭转及绞窄,睾丸容积及血供较术前无改变(P>0.05)。结论:单孔LPEC治疗小儿交通性鞘膜积液安全有效,对输精管发育和睾丸容积、血供均无影响。
Objective: To study the effects of single-hole laparoscopic percutaneous ligation (LPEC) on vas deferens, testicular volume and blood supply in pediatric traumatic hydrocele. Methods: From June 2013 to June 2014, a total of 92 male patients were diagnosed as unilateral hydrocele by single-hole LPEC. Preoperative, postoperative 1 month and 6 months by ultrasound to understand the direction of the vas deferens, testicular volume and blood supply. Results: All the operations were successful. There was no transit surgery and no serious perioperative complications. All the patients were followed up for 6 months. Ultrasound examination showed no vas deferens twisting and strangulation. The testicular volume and blood supply were not changed before operation (P> 0.05). CONCLUSION: Single-hole LPEC is safe and effective in the treatment of pediatric traffic hydrocele and has no effect on the development of vas deferens and testicular volume and blood supply.