临床小儿外科杂志Issue(3)：223-225,3.DOI:10.3969/j.issn.1671-6353.2015.03.017
腹腔镜辅助下鞘状突高位结扎术治疗儿童鞘膜积液327例
10 years experience of children hydrocele treatment by laparoscopic high ligation of vaginal process
杨晓东 1吴杨 1向波 1赵一洋 1王琦1
作者信息
- 1. 四川大学华西医院小儿外科四川省成都 市，610041
- 折叠
摘要
Abstract
Objetive To assess our 10 -year experience of the efficacy and safety of laparoscopic repair for pediatric hydrocele.Methods We performed this procedure in 327 patients older than 24 months from Jan 2002 to Jan 2013 using our specially designed curved awl.The patent internal ring was closed under laparosco-py and fluid within the hydrocele emptied by percutaneous needle aspiration.Among these children,110 had been diagnosed as “communicating hydroceles”before surgery. Results Laparoscopic exploration revealed 325 of 327 children had patent internal rings (pore size 3 ~5 min in diameter).Sixty-four (19.6%)contralat-eral but asymptomatic patent processus vaginalis were diagnosed during laparoscopy.Routine post-surgical fol-low-ups had been performed for at least one year.Four kids had recurrence,with only moderate amount of fluid accumulation (3 ~6 mL)1 ~3 months after the surgery.3 of them spontaneously resolved during subsequent 2 or 3-month follow-ups.The remaining one needed percutaneous needle aspiration.Our pathological studies showed that hydrocele sac was lined by simple columnar epithelium,which had absorbable capacity but little secretory function. Conclusions Laparoscopic repair for hydroceles provides satisfactory long-term results and owes advantages on contralateral exploration.Pathogenesis of pediatric hydrocele is related with patent internal rings.And the source of fluids mainly derived from abdominal cavity.关键词
腹腔镜检查/睾丸鞘膜积液/儿童Key words
Laparoscopy/Testicular Hydrocele/Child引用本文复制引用
杨晓东,吴杨,向波,赵一洋,王琦..腹腔镜辅助下鞘状突高位结扎术治疗儿童鞘膜积液327例[J].临床小儿外科杂志,2015,(3):223-225,3.
