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鞘膜积液传统的治疗为鞘膜切除或反转折迭术,但32～50％的病人可并发出血、肿胀、10％会并发败血症。尤其是高龄病人(大于70岁,并发症更多。人们一直期待着一种非手术疗法,事实证明单纯的抽吸总是复发,而抽吸加上注射硬化剂有肯定疗效。最近,作者在一小批病人中发现,具有抗菌及硬化作用的四环素是一种理想的制剂。连续27例病人,平均年龄71岁,平均病程1.5年。方法为:一手持积液囊,在灯光透明下,将针头刺入囊上部无血管区,抽净积液,注入四环素液500mg。抽吸液做细胞学检查以排除恶性病变。复发患者作手术治疗。
The traditional treatment of hydrocele hydrocele or reverse fold surgery, but 32 to 50% of patients may be complicated by bleeding, swelling, 10% will be complicated by sepsis. Especially in elderly patients (more than 70 years of age, more complications.People have been looking forward to a non-surgical treatment, the simple fact that the suction is always relapse, and suction plus injection of sclerotherapy have a positive effect.Recently, the author at A small number of patients found that with antibacterial and sclerotic tetracycline is an ideal preparation for 27 consecutive patients, mean age 71 years, the average duration of 1.5 years Methods: a hand-held fluid sac in the light of the transparent, Needle piercing the upper avascular area, pumping net effusion, injection of tetracycline solution 500mg. Aspiration cytology to exclude malignant lesions. Recurrent patients for surgical treatment.