儿童鞘膜积液的诊治研究进展
The Research Progress on the Diagnosis and Treatment of Pediatric Hydrocele
DOI: 10.12677/acm.2026.162660, PDF,   
作者: 蒋孟楠, 刘俊宏*, 何大维：重庆医科大学附属儿童医院泌尿外科，国家儿童健康与疾病临床医学研究中心，结构性出生缺陷与器官修复重建重庆市重点实验室，重庆
关键词: 鞘膜积液；鞘状突未闭；鞘状突高位结扎术；硬化剂治疗；Hydrocele； Patent Vaginalis Process； High Ligation of the Processus Vaginalis； Sclerotherapy
摘要: 鞘膜积液可被定义为鞘膜脏层与壁层之间的液体异常聚集，其产生的原因主要有三个方面：1) 鞘状突(或Nuck管)的封闭不完全；2) 鞘膜液体的分泌与重吸收失去平衡；3) 炎症引起的渗出。其成人与儿童的发病原因有所不同，因此治疗方法也有显著的差异。本文通过研究国内外的相关文献，对儿童鞘膜积液的病因、发病过程、影像学检查以及治疗方法等方面的现状进行了全面的概述，旨在为儿童鞘膜积液的诊治及选择合适的治疗方案提供参考。
Abstract: Hydrocele is the abnormal collection of fluid between the visceral layer and the parietal layer of the tunica vaginalis, and its pathogenesis mainly includes: 1) Incomplete closure of the vaginalis process (or Nuck canal); 2) The imbalance of fluid secretion and reabsorption of the tunica vaginalis membrane; 3) Inflammatory exudation. The pathogenesis of adults and children is different, so the treatment methods are also different. Based on domestic and foreign literature, this article reviews the etiology, pathogenesis, imaging examination and treatment of hydrocele in children, in order to provide reference for the selection of appropriate treatment for hydrocele in children.
文章引用：蒋孟楠, 刘俊宏, 何大维. 儿童鞘膜积液的诊治研究进展[J]. 临床医学进展, 2026, 16(2): 2531-2538. https://doi.org/10.12677/acm.2026.162660

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