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目的 探讨特殊临床类型的小儿鞘膜积液 ,以引起必要的重视。方法 收集多个积液鞘膜囊并存的鞘膜积液、斜疝与鞘膜积液并存的病例共 2 0例 ,对临床、术中所见资料进行回顾性分析和总结。结果 16例精索鞘膜积液与睾丸鞘膜积液并存或“串珠样”精索鞘膜积液 ,占同期病例的 2 6 % ;4例斜疝与鞘膜积液并存占同期病例 5 % ;均未在术前明确诊断。结论 小儿鞘状突的闭合有一个过程 ,必然在解剖上出现不同形态。本文资料表明特殊类型鞘膜积液并不少见 ,手术中应注意这些变异存在的可能 ,以免遗漏而出现不必要的“术后复发”。
Objective To investigate the special clinical type of pediatric hydrocele in order to arouse the necessary attention. Methods A total of 20 cases of coexisting hydrocells, hydrocele and hydrocele coexisting were collected. The clinical and intraoperative findings were retrospectively analyzed and summarized. Results 16 cases of spermatic cord hydrocele and testis hydrocele coexist or “beaded” spermatic cord effusion, accounting for 26% of cases in the same period; 4 cases of hernia and hydrocele co-exist in the same period case 5 %; None in the preoperative diagnosis. Conclusion There is a process in the closure of pediatric sheath-like processes, which must be anatomically different. The data show that special types of hydrocele is not uncommon, surgery should pay attention to the possibility of these variations, so as to avoid missing and unnecessary “postoperative recurrence.”