总结腹腔镜鞘状突高位结扎治疗腹阴囊型鞘膜积液的临床经验。

回顾性分析腹阴囊型鞘膜积液的临床表现、超声所见、术中所见及术后效果。

6例腹阴囊鞘膜积液患儿，5例术前诊断精索鞘膜积液。查体腹股沟至阴囊体积大、张力高囊性包块，透光阳性。超声探查睾丸后上方包块并延伸至腹腔，积液量多，有时可见分隔。囊性包块均自内环口处脱出。2例先将腹腔包块还纳至鞘突管，再行鞘状突高位结扎，最后经阴囊抽出积液。4例先穿刺针刺破腹腔内囊性包块，将囊液排尽，囊膜还纳至鞘突管后，行鞘状突高位结扎。术后随访10个月至24个月，临床及超声检查，均无再次出现症状。

腹腔镜鞘状突高位结扎治疗疗腹阴囊型鞘膜积液效果确切。

Summarize the clinical experiences of laparoscopic treatment of abdominoscrotal hydrocele.

Retrospective analysis of the clinical manifestations, ultrasound findings, intraoperative findings and postoperative results of abdominoscrotal hydrocele.

There were six children with abdominoscrotal hydrocele in that 5 patients were diagnosised with spermatic hydrocele preoperatively. Physical examination found high tension cystic mass from groin to the scrotum and positive light transmission. Ultrasound showed that the mass had amounts of fluid accumulation upper the testicle and extending to the abdominal cavity, sometimes visible separation were obeserved. In 2 cases, the abdominal mass was pushed into the sheath tube, then the sheath was ligated at a high position. Finally, the effusion was taken out through the scrotum. In other 4 cases, puncture needle was used to pierce the cystic mass in the abdominal cavity for draining the fluid,then capsule were pushed into the sheath tube, finially the sheath was ligated at a high position. Six patients were followed up for 10 months to 24 months without recurrence.

Laparoscopic treatment of abdominoscrotal hydrocele is effective.