【摘要】 目的 探讨阴囊镜技术在睾丸鞘膜积液治疗中的应用价值。方法 回顾性分析比较南京医科大学附属江宁医院2017年12月1日—2021年12月31日间成功施行阴囊镜辅助小切口睾丸鞘膜切除术27例(MHS组)和传统开放手术32例(TH组)患者的临床资料。结果 MHS组和TH组在手术时间[(32.22±5.25) min vs.(57.34±8.71) min]、切口长度[(0.95±0.15) cm vs.(5.09±0.55) cm]和住院时间[(3.63±0.97) d vs.(4.72±0.89) d]上比较，MHS组明显短于TH组(P<0.01);术后切口疼痛评分MHS组显著低于TH组(P<0.01);术后第3、7天MSH组阴囊水肿程度均明显轻于TH组(P<0.05);术后24周MHS组与TH组复发率分别为14.81%、3.13%,差异无统计学意义(P=0.256)。结论 阴囊镜技术治疗睾丸鞘膜积液是安全的，具有手术时间短、切口小、术后疼痛轻、阴囊水肿程度轻和住院时间短等优点，但其复发率可能高于开放手术。更多还原

【Abstract】 Objective To explore the application value of scrotoscopy in the treatment of testicular hydrocele.MethodsThe clinical data of 27 patients with testicular hydrocele who were successfully treated with minimal hydrocelectomy with the aid of scrotoscope(MHS group) and 32 patients with traditional open surgery(TH group) during Dec.2017 and Dec.2021 were retrospectively analyzed and compared.Results Compared with TH group, the MHS group needed shorter average operation time [(32.22±5.25) min vs.(57.34±8.71) min, P<0.01],shorter incision length [(0.95±0.15) cm vs.(5.09±0.55) cm, P<0.01],shorter hospital stay [(3.63±0.97) d vs.(4.72±0.89) d, P<0.01] and lower postoperative incision visual analogue scale(VAS)(P<0.01),and milder degree of edema on the 3rd and 7th day after operation(P<0.05),but higher recurrence rate(14.81% vs.3.13%,P=0.256) 24 weeks after operation.Conclusion Scrotoscopy is safe in the treatment of testicular hydrocele, which has the advantages of short operation time, small incision, mild postoperative incision pain, mild scrotal edema and short hospital stay, but the recurrence rate tends to be higher than that of traditional open surgery.更多还原