一种改良单孔单通道腹腔镜技术治疗小儿睾丸鞘膜积液的远期临床疗效观察  

A modified single-port single-tunnel laparoscopy for the management of pediatric testicular hydrocele:the clinical therapeutic effect in the long term of at least 36 months followup

作　　者：沈文浩[1] 张恒[1] 周占松[1] 卢根生[1] 季惠翔[1] 潘进洪[1] 

机构地区：[1]第三军医大学第一附属医院全军泌尿外科研究所,重庆400038

出　　处：《微创泌尿外科杂志》2013年第5期313-316,共4页Journal of Minimally Invasive Urology

摘　　要：目的:探讨一种改良的单孔单通道腹腔镜技术治疗小儿交通性睾丸鞘膜积液的远期临床疗效.方法:回顾性分析2006年6月~2010年1月采用该手术方法治疗的176例小儿交通性鞘膜积液的临床资料.结果:所有手术均顺利完成,平均手术时间单侧9(7~16) min,双侧14(11~21) min.除切口外,术中几乎没有失血.无严重出血、感染等并发症发生.术后平均随访41(36~48)个月,无一例复发.结论:改良的单孔单通道腹腔镜技术治疗小儿交通性睾丸鞘膜积液具有创伤小、伤口美观的优点,远期临床疗效肯定,值得临床推广.Objective:To evaluate the clinical therapeutic effect in the long term of at least 36months followup of a modified single-port single-tunnel laparoscopy for the management of pediatric testicular hydrocele(PTH)with high ligation of vaginal process.Methods:We analysis the clinical data of 176patients with PTH who underwent the operation retrospectively.Results:All of the operations completed successfully.The mean operation times for unilateral and bilateral lesions were 9min(range,7-16min)and 14min(range,11-21min),respectively.There was almost no blood loss intraoperative except the incision.No severe complications such as obvious bleeding or infection occured. There was no recurrence found during the 41months(range,36-48months)followup postoperatively.Conclusions: The modified single-port single-tunnel laparoscopy was efficiency and safe for the treatment of PTH with good therapeutic effect in the long term followup.It is worthy of being applied to the clinic widely.

关 键 词：单孔单通道腹腔镜 小儿睾丸鞘膜积液 微创 

分 类 号：R697[医药卫生—泌尿科学]