Chiron P, Amadane N, Bonnet S, Laroche J, Fournier R, Savoie P-H
Service de chirurgie urologique, HIA Val-de-Grâce, Paris, Service de chirurgie urologique, HIA Sainte-Anne, BP 600, 83800 Toulon Cedex 09.
Service de chirurgie urologique, HIA Sainte-Anne, BP 600, 83800 Toulon Cedex 09.
Med Sante Trop. 2014 Jan-Mar;24(1):32-8. doi: 10.1684/mst.2014.0286.
Hydrocele in adults is a collection of peritesticular fluid between the parietal and visceral layers of the tunica vaginalis testis. An endemic disease in Africa, its cause is either idiopathic or a reaction to filariasis. In the absence of treatment, its volume increases spontaneously. The onset of symptoms justifies treatment. In tropical zones, surgery is the most effective treatment. The technique must be simple to perform, require few resources, and limit the risks of complication. Three surgical techniques should be used. In resource-poor practice conditions, fenestration and, to a lesser extent, plication are the techniques most appropriate when the tunica vaginalis is essentially healthy. Only resection is possible when it is damaged.
成人鞘膜积液是睾丸鞘膜壁层和脏层之间的睾丸周围液体积聚。它是非洲的一种地方病，病因要么是特发性的，要么是对丝虫病的反应。若不治疗，其体积会自发增大。出现症状就需要治疗。在热带地区，手术是最有效的治疗方法。该技术必须操作简单，所需资源少，并能降低并发症风险。应采用三种手术技术。在资源匮乏的实际情况下，当鞘膜基本健康时，开窗术以及在较小程度上的折叠术是最合适的技术。当鞘膜受损时，只能进行切除术。
