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自1995年以来,我们采用消痔灵加等量0.5%利多卡因治疗非交通性精索鞘膜积液和睾丸鞘膜积液30例,均取得满意的效果。1一般资料 此30例中,最大年龄64岁,最小年龄2个月,平均年龄32岁。其中非交通性精索鞘膜积液12例,睾丸鞘膜积液18例。病程最长3年,最短1个月。2治疗方法 患者平卧手术台,外生殖器及周围皮肤常规消毒,助手固定鞘膜囊,术者用6号针头局麻阴囊皮肤,穿刺进针于囊内。抽净积液,根据鞘膜囊的大小,注入消痔灵加等量利多卡因2~10ml拔针即可。3 结果 一次治愈26人,占86.6%;二次治愈4人,占13.4%,半年随访未见复发。4 讨论
Since 1995, we have used Xiaoheling plus 0.5% lidocaine to treat 30 cases of non-communicating spermatic cord effusion and testicular hydrocele, and achieved satisfactory results. 1 General information The 30 cases, the maximum age of 64 years old, the youngest age of 2 months, with an average age of 32 years. Among them, 12 cases were non-communicating tracheal sheath edema and 18 cases were testicular hydrocele. Duration of up to 3 years, the shortest 1 month. 2 treatment patients supine surgical table, external genitalia and the surrounding skin routine disinfection, helper fixed sheath, the surgeon with a 6-pin local scrotal skin, puncture needle in the capsule. Pumping net effusion, according to the size of the sheath capsule, inject Xiaozheng Ling plus the same amount of lidocaine 2 ~ 10ml pull the needle can be. 3 results of a cure for 26 people, accounting for 86.6%; two were cured 4, accounting for 13.4%, no recurrence after six months of follow-up. 4 discussion