经腹股沟小切口治疗小儿交通性鞘膜积液临床的的疗效观察.docVIP

经腹股沟小切口治疗小儿交通性鞘膜积液临床的的疗效观察 　　【摘要】 目的 评价经腹股沟小切口治疗小儿交通性鞘膜积液的临床疗效。方法 132例交通性鞘膜积液患儿， 按照手术方式的不同分为传统疝囊高位结扎手术治疗组（对照组）和经腹股沟小切口治疗组（观察组）， 各66例。比较两组患儿的手术指标及术后并发症情况。结果 观察组患儿手术时间、术后疼痛时间及住院时间均短于对照组（P0.05）。观察组患儿术后并发症发生率为4.5%， 低于对照组的19.7%（P0.05）。结论 采用经腹股沟小切口治疗小儿交通性鞘膜积液的疗效突出， 术后并发症少， 能够获得较好的美容效果， 值得临床进一步推广使用。 　　【关键词】 交通性鞘膜积液；小儿；经腹股沟小切口；疗效；并发症 　　DOI：10.14163/j.cnki.11-5547/r.2016.13.014 　　Observation of curative effect by inguinal small incision in the treatment of pediatric communicating hydrocele LIU Xu-dong， ZHANG Yong， HUANG Zao-ming， et al. Department of Urinary Surgery， Third Affiliated Hospital of Third Military Medical University， Chongqing 400042， China 　　【Abstract】 Objective To evaluate clinical effect by inguinal small incision in the treatment of pediatric communicating hydrocele. Methods A total of 132 children with communicating hydrocele were divided by different operation way into conventional high ligation of hernial sac treatment group （control group） and inguinal small incision treatment group （observation group）， with 66 cases in each group. Surgical indexes and postoperative complications were compared between the two groups. Results The observation group had all shorter operation time， postoperative pain time and hospital stay time than the control group （P0.05）. The observation group had lower incidence of complications as 4.5% than 19.7% of the control group （P0.05）. Conclusion Implement of inguinal small incision provides precise effect in treating pediatric communicating hydrocele， along with few postoperative complications and good cosmetic result. This method is worth further clinical promotion and application. 　　【Key words】 Communicating hydrocele； Pediatric； Inguinal small incision； Curative effect； Complications 　　小儿交通性鞘膜积液是泌尿外科常见疾病， 手术是治疗小儿交通性鞘膜积液的主要方法， 传统疝囊高位结扎手术治疗小儿交通性鞘膜积液容易破坏腹股沟管解剖结构， 术后并发症多， 且手术切口较为明显， 影响美观[1]。本院近年来采用经腹股沟小切口治疗小儿交通性鞘膜积液取得了理想的效果， 现报告如下。 　　1 资料与方法 　　1. 1 一般资料 选择本院泌尿外科2011年6月～2015年5月收治的132例交通性鞘膜积液患儿， 阴囊有囊性肿块， 经B超检查确诊， 所有患儿均为单