本文選題：小兒交通性鞘膜積液　切入點：超聲　出處：《中華男科學雜志》2017年05期 　論文類型：期刊論文

【摘要】：目的:研究單孔腹腔鏡下經皮腹膜外結扎術(LPEC)治療小兒交通性鞘膜積液對輸精管走向、睪丸容積及血供的影響。方法:2013年6月至2014年6月,共有92例男性患兒,術前診斷為單側交通性鞘膜積液,行單孔LPEC。術前、術后1個月和6個月通過超聲了解輸精管走向、睪丸容積及血供。結果:所有手術均獲得成功,無中轉開放手術,無嚴重圍手術期并發(fā)癥。術后隨訪6個月,超聲檢查提示均無輸精管扭轉及絞窄,睪丸容積及血供較術前無改變(P0.05)。結論:單孔LPEC治療小兒交通性鞘膜積液安全有效,對輸精管發(fā)育和睪丸容積、血供均無影響。
[Abstract]:Objective: to study the effect of single hole laparoscopic percutaneous extraperitoneal ligation (LPEC) on the direction of vas deferens, testicular volume and blood supply in children with communicating hydrocele. Methods: from June 2013 to June 2014, 92 male children were enrolled. Preoperative diagnosis of unilateral communicating hydrocele was performed with single hole LPEC.The direction of the vas deferens, the volume of testis and the blood supply of the vas deferens were determined by ultrasonography 1 month and 6 months after operation. Results: all the operations were successful, and there was no conversion to open surgery. There were no serious perioperative complications. After 6 months follow-up, ultrasonography showed that there was no vas deferens torsion or strangulation, testicular volume and blood supply were not changed compared with those before operation (P 0.05). Conclusion: single hole LPEC is safe and effective in the treatment of communicating hydrocele in children. There was no effect on the development of vas deferens and testicular volume and blood supply.
【作者單位】： 南方醫(yī)科大學附屬何賢紀念醫(yī)院小兒泌尿外科;
【分類號】：R726.9

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