| 苏乃伟李新宁△ 石群峰罗树友蒋琦培.微型腹腔镜治疗小儿鞘膜积液的临床研究[J].,2012,12(22):4316-4318 |
| 微型腹腔镜治疗小儿鞘膜积液的临床研究 |
| Clinical Research on the Treatment of Hydrocele of TunicaVaginalis in Children byMinilaparoscopic |
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| DOI： |
| 中文关键词: 腹腔镜 鞘膜积液 鞘状突 儿童 |
| 英文关键词: Laparoscopic Hydrocele Processus vaginalis Children |
| 基金项目: |
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| 摘要点击次数: 838 |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| 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. |
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