论文部分内容阅读
目的探讨150例儿童鞘膜积液运用腹横纹小切口治疗的临床疗效。方法对本院2013年6月至2016年6月收治的150例鞘膜积液患儿资料进行回顾性分析,不管是哪种类型的鞘膜积液,均采取腹横纹小切口进行治疗,切口长约2 cm,将皮肤切开,对皮下组织进行分离,通过拉钩沿着腹股沟方向将切口拉开,直至外环口和腹外斜肌腱膜逐渐暴露出来,然后将腹外斜肌腱膜打开,鞘状突找到后进行鞘状突高位结扎手术以及鞘膜囊开窗引流术治疗。结果 150例患儿都成功完成手术,平均手术时间为25 min,平均住院时间为2 d;术后患儿伤口均在一期愈合,其中23例患儿出现阴囊肿胀,均在1~2 d好转;术后随访,无患儿出现复发。结论采用腹横纹小切口治疗儿童鞘膜积液具有较为显著的疗效,且手术损伤小、时间短、麻醉用量少,并发症少且无复发,同时对多种鞘膜积液类型都有着非常好的治疗效果,值得在临床上进行广泛推广。
Objective To investigate the clinical effect of hydrocele in 150 children treated with small transverse incision. Methods The data of 150 cases of hydrocele admitted from June 2013 to June 2016 in our hospital were retrospectively analyzed. No matter what type of hydrocele, small transverse incision was taken for treatment. Incision about 2 cm, the skin incision, the subcutaneous tissue were separated by pulling the hook along the direction of the groin will be opened until the outer ring mouth and external oblique aponeurosis gradually exposed, and then open the external oblique aponeurosis , Sheath-like process to find the high ligation of the sheath-like process and the sheath drainage of the fenestration. Results All the 150 children were successfully operated. The average operation time was 25 min and the average length of hospital stay was 2 d. The wounds of all the patients were healed in one time. Of the 23 patients, scrotal swelling was found in 1 to 2 days Improved; postoperative follow-up, no recurrence in children. Conclusion The treatment of children with hydrocele with a small transverse incision with a more significant curative effect, and the operation of small damage, short time, less anesthesia, fewer complications and no recurrence, while a variety of hydrocele types have Very good therapeutic effect, it is worth to be widely promoted in the clinic.