Falandry L
Service d'Urologie, Centre hospitalier universitaire de Libreville, Université Omar Bongo, Gabon.
Presse Med. 1992 Dec 12;21(43):2094-6.
Among the treatments of idiopathic hydrocele cutting a window in the tunica vaginalis testis stands out as the choice treatment, the procedure being simple and the results of good quality. In the first stage, the two layers, visceral and parietal, of the tunica are folded separately to form the edges of the window. In the second stage the parietal layer of the window is attached to the dartos which remains united with the underlying subcutaneous layer, forming an excellent tract for lymph drainage. Thus, the anatomical and physiological objectives of the operation are reached: the testicular "cockpit" and the protective function of the tunica vaginalis are preserved. In a series of 83 patients operated upon and followed up for up to 5 years, 9 out of 10 were cured by this method without unwanted sequelae.
在特发性鞘膜积液的治疗方法中，睾丸鞘膜开窗术作为首选治疗脱颖而出，该手术操作简单且效果良好。在第一阶段，将鞘膜的脏层和壁层两层分别折叠以形成窗口边缘。在第二阶段，窗口的壁层附着于肉膜，肉膜与下方的皮下层保持相连，形成良好的淋巴引流通道。这样，就实现了手术的解剖学和生理学目标：保留了睾丸“座舱”以及鞘膜的保护功能。在一组83例接受手术并随访长达5年的患者中，十分之九通过该方法治愈且无不良后遗症。
