摘要
目的探讨应用腹腔镜治疗小儿疝合并睾丸精索鞘膜积液的新方法。方法采集我院1996年3月至2011年3月应用腹腔镜治疗小儿疝合并睾丸精索鞘膜积液100例,其中右侧60例,左侧30例,双侧10例。术前挤压积液变少50例,积液无变化40例,积液能完全挤入腹腔10例。患者均在腹腔镜下行内环口荷包缝合高位结扎及积液抽出术或积液挤入腹腔内。结果手术时间单侧平均5min,双侧10min,术后平均1.5d出院,无并发症。随访6个月至6年,无复发。结论小儿疝合并睾丸精索鞘膜积液腹腔镜下内环口高位结扎术及积液抽出或积液挤入腹腔内,具有安全有效,创伤小、无瘢痕,恢复快,住院时间短,操作简便,无需特殊器械,无阴囊感染、睾丸扭转及缺血坏死、切口感染、腹股沟区疼痛麻木等并发症,疗效满意等特点。
Objective To evaluate the laparoscopic treatment of testicular spermatic cord hydrocele in children with testis spermatic cord hydrocele. Methods A total of 100 children who received laparoscopic treatment of testicular spermatic cord hydrocele were admitted in the hospital from March 1996 to March 2011 including 60 cases with right side,30 cases with left side, and 10 cases with bilateral sides. And of 100 cases, 50 cases with fewer preoperative squeeze effusion,40 cases with unchanged effusion, and 10 cases with effusion squeezed into the abdominal cavity. Patients were taken with laparoscopic high ligation of the inner mouth of the purse-string suture and effusion out of surgery or fluid to squeeze into the abdominal cavity. Results The mean operation time for unilateral was 5 minutes, and bilateral was 10 minutes. After a mean of 1.5 days after discharge, the patients had no complications. Patients were followed up for 6 months to 6 years without recurrence. Conclusions Pediatric hernia combined with testis spermatic cord hydrocele laparoscop- ic high ligation and effusion out of the inner mouth or fluid to squeeze into the abdominal cavity, were safe and effective, minimally invasive, non-scarring, with faster recovery, shorter hospital stay, easy to operate special device ring, without scrotum infection, testicular torsion, ischemic necrosis, wound infection, pain and numbness of the groin area, and other complications.
出处
《中华疝和腹壁外科杂志（电子版）》
2012年第3期30-32,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
儿童
腹腔镜
睾丸鞘膜积液
高位结扎
Hernia, ingunial
Child
Laparoscopes
Testicular hydrocele
High ligation
