单孔腹腔镜鞘状突高位结扎术治疗小儿交通性鞘膜积液的可行性  

Feasibility by single-port laparoscopic vaginal process high ligation in the treatment of pediatric communicating hydrocele

作　　者：王捷 吴尔岸 张然昆[2] 廖凤文 韦凯 

机构地区：[1]柳州市妇幼保健院儿外科,545001 [2]广西科技大学第一附属医院泌尿外科

出　　处：《中国实用医药》2016年第24期8-9,共2页China Practical Medicine

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研项目(项目编号:Z2015059)

摘　　要：目的分析单孔腹腔镜鞘状突高位结扎术治疗小儿交通性鞘膜积液的可行性。方法 75例交通性鞘膜积液患儿,均采用单孔腹腔镜鞘状突高位结扎术治疗,分析患儿症状特点,观察患儿术后恢复情况。结果患儿均成功完成手术治疗,平均手术时间(17.53±3.11)min;术中未见大量出血,未损伤精索血管以及输精管。术后随访均未复发。结论小儿交通性鞘膜积液临床治疗采取单孔腹腔镜鞘状突高位结扎术,具有确切疗效,并且操作简便,安全性较高,可有效降低患儿手术风险,值得应用。Objective To analyze feasibility by single-port laparoscopic vaginal process high ligation in the treatment of pediatric communicating hydrocele. Methods A total of 75 children with communicating hydrocele all received single-port laparoscopic vaginal process high ligation for treatment. Their symptom features were analyzed, and postoperative rehabilitation was observed. Results All children patients received successful operation, with mean operation time as（17.53±3.11） min. There was no case with intraoperative massive hemorrhage, damaged spermatic vessels and seminiferous duct. Postoperative follow-up showed no recurrent case. Conclusion Implement of single-port laparoscopic vaginal process high ligation in the treatment of pediatric communicating hydrocele contains precisely curative effect, convenient operation and high safety. This method can effectively reduce surgical risk in children patients, and it is worth applying.

关 键 词：单孔腹腔镜 鞘状突高位结扎术 交通性鞘膜积液 

分 类 号：R726.9[医药卫生—儿科]