改良经腹手术治疗小儿鞘膜积液136例

Treatment of 136 pediatric hydroceles with modified intra abdominal

[目的]探讨经腹鞘状管高位结扎治疗小儿鞘膜积液的可行性和应用价值[方法] 回顾分析经腹鞘状管高位结扎治疗小儿鞘膜积液136例的临床资料,探讨小儿鞘膜积液临床表现、手术方式.[结果]全部手术顺利,手术时间15～20 min,基本无出血,手术后2年以上随访109例,随访率80% ,无复发,切口疤痕小且隐蔽,美容效果好.[结论]改良经腹鞘状管高位结扎治疗小儿鞘膜积液操作简单,创伤小, 痛苦少,寻找鞘突管容易,不损伤精索血管和输精管,疗效可靠,安全,康复快,住院时间短.

ObjectiveTo discuss the feasibility and practical value of modified intra-abdominalsheath canal high ligation in treating pediatric hydroceles.Methods136 cases of pediatric hydroceles were reviewec clinical features and operation methods were discussed.ResultsAll the operations were successful with almost no blood loss operation time were between 1520 mins,109 patients were followed up at least 2 years,and reported no recurrence, small and hidden incisions showed good cosmetic effect. ConclusionThis method was easy to handle and proved painless and less traumatic, sheat canal openings could be found easily and damage to spermatic cord vessels and ductus deferus be avoided,resulting in quicker recuperation and shorter hospi-talization.