非完全性交通性鞘膜积液患儿腹腔镜下鞘状突高位结扎后残余鞘膜积液穿刺抽液的效果  

Effect of puncture and drainage of residual hydrocele in children with incomplete communicating hydrocele after high ligation of sheath process under laparoscope

作　　者：黄颖初 黎观漩 张太强 马日新 曾格林 Huang Yingchu;Li Guanxuan;Zhang Taiqiang;Ma Rixin;Zeng Geling(Department of Pediatric Surgery,the People's Hospital of Jiangmen,Jiangmen 529000,China;Department of Emergency,the People's Hospital of Jiangmen,Jiangmen 529000,China)

机构地区：[1]广东省江门市人民医院小儿外科,529000 [2]广东省江门市人民医院急诊科,529000

出　　处：《临床医学》2022年第11期9-11,共3页Clinical Medicine

摘　　要：目的 探讨腹腔镜下鞘状突高位结扎后积液穿刺抽液的治疗效果。方法 回顾性分析2016年5月至2020年5月江门市人民医院收治的82例非完全性交通性鞘膜积液患儿的临床资料,根据治疗方式分为观察组与对照组,其中观察组42例,对照组40例,两组患儿均行腹腔镜下鞘状突高位结扎后,观察组继续行鞘膜积液注射器穿刺抽液治疗,对照组行鞘膜囊切除治疗,比较两组手术时间、术中出血量、胃肠功能恢复时间、自主活动时间、疼痛评分及并发症发生率,随访1年,比较两组复发率。结果 观察组手术时间、术中出血量、胃肠功能恢复时间、自主活动时间均优于对照组(P均<0.05),随着时间的延长,两组术后疼痛评分逐渐下降,观察组优于对照组(P<0.05),两组并发症发生率和复发率比较,差异未见统计学意义(P>0.05)。结论 腹腔镜下鞘状突高位结扎术后行残余鞘膜积液注射器穿刺抽液用于非完全性交通行鞘膜积液的治疗具有创伤性小、安全性高、术后疼痛度低的优点,对于患儿的病情恢复具有积极意义。Objective To investigate the clinical therapeutic effect of puncture and aspiration of effusion after high ligation of the sheath-like process under laparoscopic surgery. Methods The clinical data of 82 children with incomplete communicating hydrocele admitted to Jiangmen People’s Hospital from May 2016 to may 2020 were retrospectively analyzed. According to the treatment method, they were divided into observation group and control group, including 42 cases in observation group and 40 cases in control group. After high ligation of sheath process under laparoscope, the observation group continued to perform puncture and fluid extraction with hydrocele syringe, and the control group underwent excision of sheath sac. The operation time Intraoperative bleeding volume, gastrointestinal function recovery time, autonomic activity time, pain score and complication rate were followed up for 1 year, and the recurrence rate of the two groups was compared. Results The operation time, operative blood loss, gastrointestinal function recovery time and voluntary activity time in the observation group were better than those in the control group(P<0.05).With the prolongation of time, the postoperative pain scores of the two groups gradually decreased, and the observation group was better than the control group(P<0.05).There was no significant difference in recurrence rate and complication rate between the two groups(P>0.05). Conclusions After laparoscopic high ligation of sheath process, puncture and extraction of residual hydrocele with syringe for treatment of incomplete sexual passage hydrocele has the advantages of low trauma, high safety and low postoperative pain, which is of positive significance for the recovery of children’s condition.

关 键 词：鞘状突高位结扎 非完全性交通性鞘膜积液 鞘膜积液注射器穿刺抽液 鞘膜囊切除 治疗效果 

分 类 号：R726.9[医药卫生—儿科]