摘要
目的 从解剖学角度研究小儿精索睾丸鞘膜积液手术并发症的原因及预防。方法 总结305例14岁以下小儿睾丸鞘膜积液病例资料,按解剖进行分类,观察手术效果,分析并发症的原因。结果 一次手术治愈无并发症者289例(95％),术后复发8例,单侧输精管损伤1例,术侧睾丸萎缩4例,术后阴囊积液(血)3例。结论 ①熟悉腹股沟解剖,对防止术中意外损伤十分重要。②术前明确诊断,恰当分类并选择适当的手术方式,是降低术后复发率的关键。③加强术后观察,定期随访,可减少并发症。
Objective To analyze the causes of complication and method of preventing hydrocele operation. Methods The effect of operation and causes of complication were analysed in 305 patients age<14 with hydrocele on anatomical base. Results 289 cases(95% ) got better result without complication, 8 cases with postoperative recurrence, 1 cases with unilateral vas deferens damage, 4 cases with atrophy of testis and 3 cases with post-operative scrotum hydrocele (or bloody). Conclusion ①It is important to familiarize the anatomy of the groin for preventing unexpected injury. ②Correct diagnosis and choice proper type of operation is important in reducing operative recurrence. ③Strengthen postoperative observation and regularly follow up is important in reducing the complication.
