腹横纹小切口治疗复发性小儿鞘膜积液28例

Abdominal stripes small incision in treatment of recurrent pediatric hydrocele 28 cases

目的:探讨微创技术在小儿复发性鞘膜积液手术中的应用。方法:根据小儿鞘膜积液的特点,设计一种新的微创治疗方法,首先用5号小儿头皮静脉针对积液进行缓慢抽吸,继之采用皮下环投影处顺皮纹做长0.8~1.0cm的横切口,行鞘状突管高位结扎术,共治疗小儿复发性鞘膜积液28例。结果:小切口治疗小儿复发性鞘膜积液,疗效满意,创伤小,恢复快,麻醉清醒后即可进食及出院,术后不应用抗生素,不换药,不拆线。结论:采用腹横纹小切口治疗小儿复发性鞘膜积液,创伤小,手术时间短,术后切口无明显瘢痕,外形美观,疗效满意,可替代传统的大切口治疗小儿复发性鞘膜积液。

Objective:To investigate the application of minimally invasive techniques in children with recurrent hydrocele surgery.Methods:According to the characteristics of pediatric hydrocele,to design a new minimally invasive treatment,first with the 5th scalp vein for fluid aspiration performed slowly,followed by subcutaneous ring as a projection of the length along the striae 0.8cm to 1.0cm transverse incision line vaginalis duct ligation of treatment of children with recurrent hydrocele 28 cases.Results:The treatment of children with recurrent small incision hydrocele,results were satisfactory,less trauma,quicker recovery,and can be discharged from hospital after eating awake anesthesia,postoperative antibiotics,no dressing,no stitches.Conclusion:The treatment of pediatric abdominal incision stripes recurrent hydrocele,trauma,shorter operative time,postoperative incision scar,appearance,satisfactory results can be an alternative to traditional large incision treatment of children with recurrent hydrocele plot fluid.