经阴囊切口入路手术治疗小儿腹股沟管疾病84例

The clinical experience of scrotal incision operation in treating pediatric inguinal canal diseases

目的探讨经阴囊切口入路手术治疗小儿腹股沟管疾病的临床应用价值。方法自2010年1月至2013年12月，我们对84例腹股沟管疾病患儿，采用经阴囊切口入路手术进行治疗，其中鞘膜积液45例，腹股沟斜疝31例，隐睾8例，根据术中情况和术后1周、半年随访情况，评价疗效。结果84例均手术顺利，平均手术时间20 min，无并发症；术后1周无切口感染发生，切口愈合良好；半年后门诊复查阴囊切口外观满意，无明显瘢痕形成，无复发。结论经阴囊切口入路手术治疗腹股沟管疾病，安全可靠，术后切口隐蔽美观，在保证治疗效果的同时提高了病人满意度，值得临床推广。

Objetive To evaluate the clinical application value of scrotal incision operation in treating pediatric inguinal canal diseases and improve patient satisfaction.Methods We performed the scrotal incision operation treatment in 84 cases with inguinal canal diseases in children,including 45 cases of hydrocele.31 ca-ses indirect inguinal hernia,8 cryptorchidism.Treatment and healing of incision were followed up in a week and 6 months.Results The operations of 84 cases were successfully completed,the average operation time was 20 minutes and there was no complications and recurrence.No incision infection was found in a week follow-up and scrotal incision satisfactory appearance was well accepted by parents of children patients in 6 months. Conclusion The scrotal incision operation for inguinal canal disease operation is a worthy approach for its safe-ty and reliability.