微型腹腔镜治疗小儿鞘膜积液的临床研究

目的:评价微型腹腔镜下缝扎鞘状突治疗小儿鞘膜积液的临床治疗效果方法:回顾分析2006年6月至2011年6月应用微型腹腔镜缝扎鞘状突治疗的小儿鞘膜积液1012例的临床资料.结果:均在腹腔镜下完成手术,手术时间单侧( 14.3± 3.7)min,双侧(22.1± 4.2)min.术后发生阴囊肿胀16例,皮下气肿3例,脐上缘切口大网膜突出2例,线结反应2例,均经及时处理后痊愈.无复发、肠粘连、腹腔内脏器损伤、切口感染、医源性隐睾及睾丸萎缩等并发症.结论:微型腹腔镜下鞘状突缝扎术治疗小儿鞘膜积液适用于各型鞘膜积液,具有手术时间短、效果好、损伤小、恢复快、并发症少,并可发现并处理对侧隐性鞘状突未闭合等优点.

Clinical Research on the Treatment of Hydrocele of Tunica Vaginalis in Children byMinilaparoscopic

Objective:To evaluate the clinical therapeutic effect of minilaparoscopic for treatment of hydrocele in children.Methods:The retrospective analysis was made on the clinical data of 1012 children who suffered from hydrocele of tunica vaginalis and underwent minilaparoscopic transfixion of processus vaginalis from June 2006 to June 2011.Results:The procedure was successful in all the 1012 cases.The mean operative time was 14.3±3.7 and 22.1±4.2 minutes for unilateral and bilateral operations,respectively.The main postoperative complications included 16 cases scrotal edema or hematoma,3 cases of subcutaneous emphysema,2 cases of greater omentum herniation from incision,2 cases of line knot response.No complications such as relapse,organ injury,incision infection,intestinal adhesion or atrophy of testis occurred.Conclusions:Minilaparoscopic transfixion of processus vaginalis has advantages of minimal invasion,easy operation,safety,good cosmetic result,effectiveness,little complications,quick recovery,and is suitable for any type hydrocele in children.The hidden processus vaginalis not closed can be found and treated.