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机构地区:[1]重庆医科大学附属儿童医院,重庆
出 处:《临床医学进展》2023年第2期2403-2407,共5页Advances in Clinical Medicine
摘 要:鞘膜积液是婴幼儿阴囊无痛性肿胀最常见的原因,也是发病率较高的先天性疾病之一。现鞘膜积液手术大多在2岁前进行,但手术时机的选择一直存在争议。鞘膜积液对于睾丸发育的影响因素较多,既有压力对血流的影响,也有温度所带来的间接影响。目前的研究显示,鞘膜积液是否对睾丸发育有严重影响尚无定论,手术时机的选择由鞘状突自行闭合的时间划定。现仍考虑鞘膜积液对小儿睾丸发育存在负面影响,病情较重的儿童需及时就医。Hydrocele is the most common cause of painless scrotal swelling in infants and children and is one of the more prevalent congenital disorders. Most surgery for hydrocele is now performed before the age of 2 years, but the timing of surgery has been controversial. Hydrocele has a number of factors that affect testicular development, both in terms of pressure on blood flow and indirectly due to temperature. Current research shows that it is inconclusive whether hydrocele has a serious effect on testicular development. The timing of surgery is determined by the timing of processus vaginalis closure. It is still considered that hydrocele has a negative impact on the development of the testi-cles in children and that children with more severe cases need to seek medical attention.
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