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目的:观察经阴囊超低位小切口治疗儿童鞘膜积液的疗效。方法:将经沧县医院确诊为儿童交通性鞘膜积液的患者,在征得家属知情同意后,随机分为经阴囊超低位小切口治疗组,传统腹股沟切口对照组。结果:经阴囊超低位小切口治疗组较传统腹股沟切口组手术时间减少50%,术后疼痛发生率及疼痛程度低40%,缩短患者的住院天数约30%,节省住院费用35%。结论:经阴囊超低位小切口手术治疗儿童鞘膜积液,具有可行性、安全性、可操作性,非常利于在基层医院开展,值得在临床推广。
Objective: To observe the efficacy of ultra-low small incision of scrotum for children’s hydrocele. Methods: Patients who were diagnosed as pediatric hydrocells by Jingcang Hospital were randomly divided into two groups: control group with small incision of ultra-low scrotum and control group of traditional groin incision with the informed consent of family members. Results: The operation time of transvaginal ultrathin small incision group was 50% less than that of traditional incision group. The incidence of postoperative pain and the degree of pain were 40% lower, the length of hospitalization was shortened by 30% and the cost of hospitalization was 35%. Conclusion: It is feasible, safe and feasible to treat pediatric hydrocele with transvaginal ultrathin small incision. It is very helpful to carry out in primary hospitals and is worthy of clinical promotion.