鞘膜积液对小儿睾丸发育影响研究进展
Advances in Research on the Effects of Hydrocele on Pediatric Testicular Development
DOI: 10.12677/ACM.2023.132338, PDF,   
作者: 胡 洋, 余成军:重庆医科大学附属儿童医院,重庆
关键词: 儿童鞘膜积液睾丸体积睾丸小儿外科Children Hydrocele Testicular Volume Testis Pediatric Surgery
摘要: 鞘膜积液是婴幼儿阴囊无痛性肿胀最常见的原因,也是发病率较高的先天性疾病之一。现鞘膜积液手术大多在2岁前进行,但手术时机的选择一直存在争议。鞘膜积液对于睾丸发育的影响因素较多,既有压力对血流的影响,也有温度所带来的间接影响。目前的研究显示,鞘膜积液是否对睾丸发育有严重影响尚无定论,手术时机的选择由鞘状突自行闭合的时间划定。现仍考虑鞘膜积液对小儿睾丸发育存在负面影响,病情较重的儿童需及时就医。
Abstract: Hydrocele is the most common cause of painless scrotal swelling in infants and children and is one of the more prevalent congenital disorders. Most surgery for hydrocele is now performed before the age of 2 years, but the timing of surgery has been controversial. Hydrocele has a number of factors that affect testicular development, both in terms of pressure on blood flow and indirectly due to temperature. Current research shows that it is inconclusive whether hydrocele has a serious effect on testicular development. The timing of surgery is determined by the timing of processus vaginalis closure. It is still considered that hydrocele has a negative impact on the development of the testi-cles in children and that children with more severe cases need to seek medical attention.
文章引用:胡洋, 余成军. 鞘膜积液对小儿睾丸发育影响研究进展[J]. 临床医学进展, 2023, 13(2): 2403-2407. https://doi.org/10.12677/ACM.2023.132338

参考文献

[1] Lau, S.T., Lee, Y.H. and Caty, M.G. (2007) Current Management of Hernias and Hydroceles. Seminars in Pediatric Surgery, 16, 50-57. [Google Scholar] [CrossRef] [PubMed]
[2] Qiu, Y., Bai, D. and Ye, H. (2019) Ef-fects of Hydrostatic Pressure of Vaginal Cavity on Testicular Volume in Children with Hydrocele. Chinese Journal of Minimally Invasive Surgery, 19, 403-406.
[3] Tuncer, A.A., Peker, T., Acar, M.B., et al. (2017) A Comparison of Preoperative and Postoperative Testicular Volume and Blood Flow in Patients with Inguinal Hernia, Hydrocele, and Cord Cyst: A Prospective Cohort Study. Pakistan Journal of Medical Sciences, 33, 363-368. [Google Scholar] [CrossRef] [PubMed]
[4] El-Komy, H., El-Gendi, A., Abdel-Salam, W., et al. (2018) Self-Fixing Parietex Progrip versus the Standard Sutured Prolene Mesh in Tension-Free Repair of Inguinal Hernia: Effect on Testicular Volume and Testicular Blood Flow. Updates in Surgery, 70, 513-520. [Google Scholar] [CrossRef] [PubMed]
[5] Adaletli, I., Kurugoglu, S., Kantarci, F., et al. (2006) Testicular Volume before and after Hydrocelectomy in Children. Journal of Ultrasound in Medicine: Official Journal of the Ameri-can Institute of Ultrasound in Medicine, 25, 1131-1136. [Google Scholar] [CrossRef] [PubMed]
[6] Mihmanli, I., Kantarci, F., Kulaksizoglu, H., et al. (2004) Testicu-lar Size and Vascular Resistance before and after Hydrocelectomy. AJR American Journal of Roentgenology, 183, 1379-1385. [Google Scholar] [CrossRef] [PubMed]
[7] Gulum, M., Cece, H., Yeni, E., et al. (2012) Diffu-sion-Weighted MRI of the Testis in Hydrocele: A Pilot Study. Urologia Internationalis, 89, 191-195. [Google Scholar] [CrossRef] [PubMed]
[8] Cimador, M., Castagnetti, M. and De Grazia, E. (2010) Management of Hydrocele in Adolescent Patients. Nature Reviews Urology, 7, 379-385. [Google Scholar] [CrossRef] [PubMed]
[9] Ma, Q., Li, Y., Wang, Q., et al. (2018) Clinical Research Progress in the Pathogenesis of Congenital Hydrocele in Children. Journal of Clinical Pediatric Surgery, 17, 433-437.
[10] Rubenstei, R.A., Dogra, V.S., Seftel, A.D. and Resnick, M.I. (2004) Benign intraScrotal Lesions. The Journal of Urology, 171, 1765-1772. [Google Scholar] [CrossRef] [PubMed]
[11] Esposito, C., Esco-lino, M., Turrà, F., et al. (2016) Current Concepts in the Management of Inguinal Hernia and Hydrocele in Pediatric Pa-tients in Laparoscopic Era. Seminars in Pediatric Surgery, 25, 232-240. [Google Scholar] [CrossRef] [PubMed]
[12] Naji, H., Ingolfsson, I., Isacson, D., et al. (2012) Decision Making in the Management of Hydroceles in Infants and Children. European Journal of Pediatrics, 171, 807-810. [Google Scholar] [CrossRef] [PubMed]
[13] Acer-Demir, T., Ekenci, B.Y., Özer, D., et al. (2018) Natural History and Conservative Treatment Outcomes for Hydroceles: A Retrospective Review of One Center’s Experience. Urology, 112, 155-160. [Google Scholar] [CrossRef] [PubMed]
[14] Hall, N.J., Ron, O., Eaton, S., et al. (2011) Surgery for Hydro-cele in Children—An Avoidable Excess? Journal of Pediatric Surgery, 46, 2401-2405. [Google Scholar] [CrossRef] [PubMed]
[15] Cozzi, D.A., Mele, E., Ceccanti, S., et al. (2008) Infantile Ab-dominoscrotal Hydrocele: A Not So Benign Condition. The Journal of Urology, 180, 2611-2615. [Google Scholar] [CrossRef] [PubMed]
[16] Doudt, A.D., Kehoe, J., Ignacio, R.C. and Christman, M.S. (2016) Abdominoscrotal Hydrocele: A Systematic Review. Journal of Pediatric Surgery, 51, 1561-1564. [Google Scholar] [CrossRef] [PubMed]
[17] Zawaideh, J.P., Bertolotto, M., Giannoni, M., et al. (2020) Tension Hydrocele as an Additional Cause of Acute Scrotum: Case Series and Literature Review. Abdominal Radiology (New York), 45, 2082-2086. [Google Scholar] [CrossRef] [PubMed]
[18] Ahorlu, C.K., Dunyo, S., Asamoah, G. and Simonsen, P.E. (2001) Consequences of Hydrocele and the Benefits of Hydrocelectomy: A Qualitative Study in Lymphatic Filariasis Endemic Communities on the Coast of Ghana. Acta Tropica, 80, 215-221. [Google Scholar] [CrossRef
[19] Kuijper, E.A., van Kooten, J., Verbeke, J.I., et al. (2008) Ultrasonographically Measured Testicular Volumes in 0- to 6-Year-Old Boys. Human Reproduction (Oxford, England), 23, 792-796. [Google Scholar] [CrossRef] [PubMed]
[20] Lotti, F., Maggi, M. et al. (2015) Ultrasound of the Male Genital Tract in Relation to Male Reproductive Health. Human Reproduction Update, 21, 56-83. [Google Scholar] [CrossRef] [PubMed]
[21] Turgut, A.T., Unsal, A., Ozden, E., et al. (2006) Unilateral Idiopathic Hydrocele Has a Substantial Effect on the Ipsilateral Testicular Geometry and Resistivity Indices. Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine, 25, 837-843. [Google Scholar] [CrossRef] [PubMed]
[22] Dandapat, M.C., Padhi, N.C. and Patra, A.P. (1990) Effect of Hy-drocele on Testis and Spermatogenesis. The British Journal of Surgery, 77, 1293-1294. [Google Scholar] [CrossRef] [PubMed]
[23] Politoff, L., Hadziselimovic, F., Herzog, B. and Jenni, P. (1990) Does Hydrocele Affect Later Fertility? Fertility and Sterility, 53, 700-703. [Google Scholar] [CrossRef
[24] Bahk, J.Y., Jung, J.H., Jin, L.M. and Min, S.K. (2010) Cut-Off Value of Testes Volume in Young Adults and Correlation among Testes Volume, Body Mass Index, Hormonal Level, and Seminal Profiles. Urology, 75, 1318-1323. [Google Scholar] [CrossRef] [PubMed]
[25] Kafka, M., Strohhacker, K., Aigner, F., et al. (2020) Incidental Testicular Pathologies in Patients with Idiopathic Hydrocele Testis: Is Preoperative Scrotal Ultrasound Justified? Anti-cancer Research, 40, 2861-2864. [Google Scholar] [CrossRef] [PubMed]
[26] Tanyel, F.C., Ocal, T. and Büyükpamukçu, N. (2001) Excessive Sac Pressures: The Pathogenesis and Innocence of Hydroceles in Children. BJU International, 87, 372-375. [Google Scholar] [CrossRef] [PubMed]