可视穿刺肾镜在成人睾丸鞘膜积液治疗中的初步应用

Visible puncture nephroscope for the treatment of adult testicular hydrocele

摘要:

目的 探讨可视穿刺肾镜睾丸鞘膜切除术治疗成人睾丸鞘膜积液的应用价值。方法 回顾性分析2018年10月－2020年10月该院行可视穿刺肾镜睾丸鞘膜切除术的23例成人睾丸鞘膜积液患者的病例资料。观察患者手术时间、出血量、住院时间、术后并发症和复发情况。结果 22例患者顺利完成手术，1例因阴囊粘连严重中转开放手术。22例患者手术时间（27.6±5.7）min，出血量（1.5±0.6）mL；术后7例出现轻度阴囊水肿，术后1 d消退，术后2 d拔除引流条，术后3 d出院；其余15例于术后1 d拔除引流条，术后2 d出院。所有患者均未出现中重度阴囊水肿、切口感染和阴囊血肿等并发症。术后病理均为睾丸鞘膜。随访6个月均未复发，无阴囊慢性疼痛。结论 使用可视穿刺肾镜行睾丸鞘膜切除术，创伤小，恢复快，并发症少，复发率低，具有较高的临床价值。

Abstract:

Objective To explore the application value of visible puncture nephroscope in treatment of adult testicular hydrocele.Methods The clinical data of 23 patients with adult testicular hydrocele who underwent visible puncture nephroscope orchiectomy from October 2018 to October 2020 were retrospectively analyzed. The operation time, blood loss, hospital stay, postoperative complications and recurrence were observed.Results 22 patients successfully completed the operation and one patient was converted to open operation due to severe scrotal adhesion. The operation time of 22 patients was (27.6 ± 5.7) min, and the blood loss was (1.5 ± 0.6) mL; Mild scrotal edema occurred in 7 cases and subsided on the first day after operation, the drainage tubes were removed on the second day after operation and discharged on the third day after operation; The drainage tubes were removed on the first day after operation and discharged on the second day after operation in the remaining 15 cases. No complications such as moderate or severe scrotal edema, incision infection and scrotal hematoma occurred in all patients. The postoperative pathology was tunica vaginalis of testis. No recurrence and chronic scrotal pain were found after 6 months follow-up.Conclusion Visible puncture nephroscope has the advantages of small trauma, quick recovery, less complications and low recurrence rate, which has high clinical value.