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睾丸鞘膜积液一般均采用手术治疗。近年来,笔者试行氟美松加卡那霉素封闭治疗,经观察,疗效满意。临床资料:本组年龄最小者3岁,最大者15岁,均为单侧发病,积液量10ml以下者3例、16ml1例、22ml1例。封闭方法:局部常规消毒后,7号针头接注射器,避开睾丸及附睾垂直刺入鞘膜腔内,吸尽积液后,立即注入氟美松5mg加卡那霉素0.3～0.5混合液,注完后拔针,轻轻按摩几下阴囊,间隔1周复诊。疗效:本组1例,经1次治愈者1例,2次治愈者3例,随访6月～1年无复发,另1例(积液量22ml),经3次封闭后积液量明显减少(后拒绝治疗),随访18个月,积液量无明显增多。
Testicular hydrocele generally use surgical treatment. In recent years, the author trial of flumethasone plus kanamycin closed treatment, the observation, the curative effect is satisfactory. Clinical data: The youngest group of 3 years old, the largest of 15 years old, are unilateral disease, fluid volume 10ml below 3 cases, 16ml1 cases, 22ml1 cases. Closure method: After local routine disinfection, the 7th needle connected syringe, avoid the testicle and epididymis vertical piercing the sheath cavity, exhausted fluid, immediately injected with flumestine 5mg plus kanamycin 0.3 ~ 0.5 mixture, After injection needle, gently massage a few scrotum, a week interval referral. Efficacy: 1 patient in this group, 1 patient cured by one time, 3 patients cured by 2 times, followed up for 6 months to 1 year without recurrence, the other one (fluid volume 22ml), after 3 times the volume of fluid was significantly closed Reduction (after refusing treatment), follow-up 18 months, no significant increase in fluid volume.