Honnens de Lichtenberg M, Miskowiak J, Krogh J
Department of Urology, Bispebjerg Hospital, University of Copenhagen, Denmark.
Acta Chir Scand. 1990 Jun-Jul;156(6-7):439-40.
Fourty patients with 32 hydroceles and 11 epididymal cysts were treated by aspiration and instillation of tetracycline. After a follow up period of 24-39 months the cure rate was 77%. Most of the early recurrences were the results of chemical inflammation and vanished spontaneously. This group should therefore not be operated on until three months after their initial treatment. As aspiration of the fluid had allowed palpation of the testis and cytological examination, only a small proportion of patients with recurrences wanted further treatment. We therefore recommend tetracycline sclerotherapy because it is quick, easy, safe, and effective in the long as well as the short term.
40例患有32个鞘膜积液和11个附睾囊肿的患者接受了四环素抽吸和注入治疗。经过24至39个月的随访期，治愈率为77%。大多数早期复发是化学性炎症的结果，且会自行消失。因此，该组患者在初次治疗后三个月内不应进行手术。由于液体抽吸使能够触诊睾丸并进行细胞学检查，只有一小部分复发患者需要进一步治疗。因此，我们推荐四环素硬化疗法，因为它在长期和短期内都快速、简便、安全且有效。
