笔者用“切口内不留缝线的鞘膜翻转术”,治疗睾丸鞘膜积液20例。术后分别随访1～1.5年,未见不良后果。其手术方法基本上与原睾丸鞘膜翻转术相同。不同点是:①切开阴囊壁后,较大的出血点可用蚊式血管钳暂时予以钳夹,不必结扎,待手术结束后将蚊式钳松开,利用较密的全层切口缝合以压迫止血;②在切开鞘膜放液之前,宜尽量解剖至固有鞘膜壁层,这样不致造成阴囊内渗血,因贴近固有鞘膜壁层之外的精索内筋膜毛细血管较少,③鞘膜翻转后, I use “incision without suture sheath inversion surgery”, treatment of 20 cases of testicular hydrocele. After follow-up were 1 to 1.5 years, no adverse consequences. The surgical method is basically the same as the original testicular sheath turnover. The difference is: ① incision of the scrotum wall, the larger bleeding points can be used to temporarily clamp the mosquito vascular forceps without having to be ligation, until the end of the surgery to release the mosquito forceps, the use of more dense full-thickness incision suture to oppression Hemostasis; â’¡ before opening the sheath liquid, should try to dissect the inherent sheath of the sheath, so that will not cause scrotal bleeding, close to the inherent sheath of the sphincter capillary less, ③ sheath flip,