鞘状突管高位结扎加悬吊治疗小儿鞘膜积液

目的 探索一种治疗小儿鞘膜积液的手术方法。方法 以内环与阴茎根部连线为切口线，根据不同类型的鞘膜积液选择切口的位置和长短，高位结扎，悬吊未闭合的鞘状突，远端鞘膜开窗式部分切除，排尽鞘膜积液后旷置。结果 本组415例，术后403例切口Ⅰ类愈合，12例切口皮下脂肪液化；术后有39例阴囊轻度水肿。随访0．5～2年，平均1．2年，随访率82％，未发现复发、睾丸萎缩、医源性隐睾等情况。结论 本组手术方法简单，安全，疗效确切，容易掌握。术后并发症少，复发率低，对不同类型的鞘膜积液均能处理。

High ligation and suspension of processus vaginalis to treat children hydrocele

Objective To explore an operation of treating children hydrocele. Methods From inner ring to the root of penis, the location and length of the incision were selected by types of hydrocele, then the unclosed processus vaginalis were ligated highly and suspended and the distal tunica vaginalis were partly resected by windowing after full drainage of hydrops. Results In the all incisions of 415 cases, 403 cases were cured by I type, 12 cases were found hypodermic fat liquefaction, light scrotal edema was found after operation in 39 cases. 82% of cases were followed-up for 0.5~2years(average 1.2 years), no recurrence, atrophy of testes and iatrogenic cryptorchidism were found. Conclusion The operation is simple,safe,confirmative and easy to master, and it can deal with different types of hydrocele with the advantages of the low recurrence rate and less complications after operation.