腹腔镜治疗各型小儿鞘膜积液

目的探讨腹腔镜治疗各型小儿鞘膜积液的方法。方法自2004年8月至2008年10月应用微型腹腔镜缝扎内环口方法治疗小儿鞘膜积液172例，年龄6个月－12岁（平均4岁）。其中术前诊断交通型71例，非交通性101例。结果术中发现术前各型鞘膜积液均存在鞘状突未闭合。手术过程顺利，患儿症状消失，无瘢痕，无复发。结论术前诊断为非交通性鞘膜积液病儿术中证实均为交通性鞘膜积液；腹腔镜下缝扎内环口治疗各型小儿鞘膜积液，操作简单、安全，疗效可靠，并可同时发现及处理隐性内环口未闭，值得临床推广。

Laparoscopic procedure for the treatment of hydrocele in children

Objective To evaluate the laparoseopic procedure for the treatment of hydroeele in children. Methods From August 2004 to December 2008, 172 children aged from 6 months to 12 years（the mean age were 4 years） were treated by laparoseopic procedure for hydroeeles. Seventy-one eases were diagnosed as type of communicating preoperatively, while 101 cases as non-communicating. Results All patient were eomformed intraoperatively as type of communicating, the procedure was successful in all cases with small scar formation and no recurrence. Conclusions Preoperative diagnosis of non-communicating hydrocele is always confirmed to be communicating. Ligation of the the internal ring under minilaparoscope is a simple, efficacy and reliable procedure with minimal invasion for the treatment of all kinds of hydrocele in children. Ocuh hernia can be found at the same time.