超声引导下注射聚桂醇硬化治疗精索鞘膜积液

目的探讨超声引导下注射聚桂醇硬化治疗精索鞘膜积液的治疗效果。 方法选择2012年5月至2014年12月鄂尔多斯市中心医院收治的超声诊断为精索鞘膜积液的患儿35例。超声引导下应用静脉留置针穿刺抽吸鞘膜积液，囊腔内注入聚桂醇注射液，保留5 min后全部抽出。1、3、6个月随访复查，评价疗效。一次治疗有效和无效的患儿给予再次治疗。仍无效者建议转手术治疗。治愈患儿继续随访精索有无增粗、变细、硬结等改变。 结果一次注射治愈31例（31/35，88.6%），二次注射治愈3例（3/35，8.6%）。1例经二次治疗仍无效，转手术治疗。总治愈率97.1%（34/35）。治疗中患儿均无不适，治疗后随访腹股沟区未触及包块，与对侧精索对比，精索直径无增粗、变细等异常改变，精索周围无增厚膜状回声。 结论超声引导下注射聚桂醇硬化治疗精索鞘膜积液是一种高效的方法，可使绝大部分患儿避免手术治疗。

Ultrasound-guided Lauromacrogol injection sclerotherapy in spermatic cord hydrocele

ObjectiveTo observe the treatment effect of ultrasound-guided sclerotherapy with Lauromacrogol injection.in spermatic cord hydrocele. MethodsFrom May 2012 to December 2014, 35 children diagnosed as spermatic cord hydrocele in Ordos Central Hospital were included in the study. In treatment, ultrasound-guided puncture and drainage of the cyst was conducted, and then lauromacrogol was injected into the residual cystic cavity and retained for five minutes. In follow-up, curative effect was evaluated 1 month, 3 months, and 6 months after operation. Children could be treated again after the ineffective initial treatment. If the second treatment still failed, the children would be referred to surgery. Cured children needed to follow-up to observe the changes of spermatic cord. ResultsTotally 31 cases (88.6%) were cured by initial treatment, and 3 cases (8.6%) were cured at the second time. Only 1 case was referred to surgery after two unsuccessful treatments. The total curative rate was 97.1% (34/35). No children had discomfort during therapy. In follow-up, no inguinal region mass was found. Compared with the contralateral spermatic cord, the diameter of spermatic cord had no abnormal changes. ConclusionUltrasound-guided Lauromacrogol injection sclerotherapy is a cost-effective method for spermatic cord hydrocele, which could avoid surgery for most children.