腹腔镜下腹膜外结扎术对儿童输精管走向、睾丸容积及血供的影响

发布时间：2018-03-16 16:50

本文选题：小儿交通性鞘膜积液　切入点：超声　出处：《中华男科学杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的:研究单孔腹腔镜下经皮腹膜外结扎术(LPEC)治疗小儿交通性鞘膜积液对输精管走向、睾丸容积及血供的影响。方法:2013年6月至2014年6月,共有92例男性患儿,术前诊断为单侧交通性鞘膜积液,行单孔LPEC。术前、术后1个月和6个月通过超声了解输精管走向、睾丸容积及血供。结果:所有手术均获得成功,无中转开放手术,无严重围手术期并发症。术后随访6个月,超声检查提示均无输精管扭转及绞窄,睾丸容积及血供较术前无改变(P0.05)。结论:单孔LPEC治疗小儿交通性鞘膜积液安全有效,对输精管发育和睾丸容积、血供均无影响。
[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.
【作者单位】：南方医科大学附属何贤纪念医院小儿泌尿外科;
【分类号】：R726.9

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