论文部分内容阅读
洪×,男,12岁,因右侧斜疝要求手术入院.查体:右阴囊至腹股沟可见—7×6×5cm包块,囊性,可还纳入腹腔,压迫内环包块不再出现,外环可容1拇指余,包块咳嗽时有冲击感.右侧阴囊内可触及睾丸,约1.2×1.1×1.0cm大小,上下活动较大.左侧阴囊及腹股沟末扪及睾丸.B超查:左阴囊腹股沟末见睾丸回声影,右阴囊可见睾丸回声.临床诊断:右侧腹股沟斜疝,左侧隐睾,施疝囊交位结扎加疝修补。术中见:右阴囊内无睾丸,疝囊后壁颈部有一精索血管,牵拉精索,睾丸自腹腔内牵出,可送入阴囊,在精索内侧1.0cm
Hung ×, male, 12 years old, due to the right side of the hernia requiring surgery admitted to the hospital Physical examination: right scrotum to the groin can be seen -7 × 6 × 5cm mass, cystic, can also be incorporated into the abdominal cavity, oppression of the inner mass no longer appear , The outer ring can accommodate more than 1 thumb, mass impact cough when the right scrotum can touch the testes, about 1.2 × 1.1 × 1.0cm size, up and down activities greater left scrotum and inguinal palpable testicular. Overstretory: left scrotal groin end testis echo shadow, right scrotum visible testicle echo Clinical diagnosis: the right inguinal hernia, left cryptorchidism, Shi hernia ligation and hernia repair. Intraoperative see: no testicles within the right scrotum, hernia sac posterior wall of a spermatic cord blood vessels, pull the spermatic cord, testis from the abdominal cavity pull out, can be sent to the scrotum, inside the spermatic cord 1.0cm