一例自我治疗病例报告：通过囊内注射聚多卡醇治愈鞘膜积液
A self-treatment case report: curing hydrocele by intracapsular injection of polidocanol.
作者信息
Xu Yu, Li Chao
机构信息
Oncology Department, The Fourth Hospital of Hebei Medical University Shijiazhuang 050000, Hebei, China.
Department of Cardiac Surgery, The Fourth Hospital of Hebei Medical University Shijiazhuang 050000, Hebei, China.
出版信息
Am J Transl Res. 2023 Feb 15;15(2):1473-1475. eCollection 2023.
BACKGROUND
Hydrocele is an abnormal collection of serous fluid in the tunica vaginalis. The most common form of hydrocele in adults is primary or idiopathic, affecting approximately 1% of adult men. Most patients receive surgical treatment. We report a case cured by intracapsular injection of polidocanol.
CASE SUMMARY
A 32-year-old man found a lump in his left scrotum while taking a bath. He conducted a transillumination test himself, and the result was positive. Hydrocele of the testis was then diagnosed by ultrasound examination. The patient underwent several rounds of hydrops aspiration, intracapsular drug injection, and oral antibiotic treatment, but all failed. Finally, the hydrocele was cured by injection of polidocanol into the capsule.
CONCLUSION
Simple hydrocele aspiration and intracapsular injection of anti-inflammatory drugs had no obvious therapeutic effect. Intracapsular injection of polidocanol has a reliable and lasting therapeutic effect on hydroceles with the advantages of procedure simplicity, low cost, rapid recovery, and few side effects.
背景
鞘膜积液是鞘膜腔内浆液性液体的异常积聚。成人最常见的鞘膜积液类型是原发性或特发性的，约影响1%的成年男性。大多数患者接受手术治疗。我们报告一例通过囊内注射聚多卡醇治愈的病例。
病例摘要
一名32岁男性在洗澡时发现左侧阴囊有一肿块。他自行进行了透光试验，结果为阳性。随后经超声检查诊断为睾丸鞘膜积液。该患者接受了多轮积液抽吸、囊内药物注射及口服抗生素治疗，但均失败。最后，通过向囊内注射聚多卡醇治愈了鞘膜积液。
结论
单纯的鞘膜积液抽吸及囊内注射抗炎药物无明显治疗效果。囊内注射聚多卡醇对鞘膜积液有可靠且持久的治疗效果，具有操作简单、成本低、恢复快及副作用少等优点。
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