1035例小儿鞘膜积液门诊手术治疗

Outpatient Surgery of 1035 Cases with Pediatric Hydrocele

目的探讨小儿鞘膜积液的门诊手术治疗模式和注意点。方法回顾性统计我院近5年间门诊手术治疗1035例小儿鞘膜积液的治疗情况与结果。本组中左侧384例,右侧640例,双侧11例;手术方式采用腹股沟横纹小切口经外环口行鞘状突高位结扎术。结果采用门诊治疗模式,所有1035例手术患儿均术后2～4h回家,无死亡病例,无手术部位错误,无切口感染、手术意外损伤及术后较明显出血发生,无医疗纠纷与投诉,术后复发7例,复发率为0.68%。结论门诊手术模式是一项安全、快捷、费用低的手术治疗模式,经外环口鞘状突高扎术的优点在该模式中充分体现,具有较好的社会效益和经济效益,值得推广。

Objective To investigate the outpatient surgical model of pediatric hydrocele and main points of the outpatient surgery. Methods Retrospective study of the curative effects and results of 1035 pediatric cases with hydrocele in outpatient surgery in recent 5 years were performed. In this group,there were 384 cases located in the left,640 in the right and 11 in the bilateral. High ligation of processus vaginalis through external inguinal ring by transverse small incision was performed. Results By this outpatient surgical model, all the patients left for home in 2 - 4 hours. There was no death, no wrong operative location, no incision infection, accident and hacmorrhage, no medical dispute and complaint to the surgeon. Seven patients（O. 68% ） developed recurrence. Conclusion This surgery model is safe, convenient, low - budget and suitable to extend. It has great economic returns and social benefits. High ligation of processus vagi- nalis through external inguinal ring by transverse small incision played a pivotal role in the surgery model.