There is no basis for the claim of the best treatment for spermatic cord syringomyelia. The treatment of spermatic cord syringomyelia includes symptomatic treatment, medication, and surgical treatment. 1. Symptomatic treatment: after symptomatic treatment of reactive effusion caused by acute inflammation, the effusion can subside by itself. Infants and young children with more obvious effusion and high tension can be treated by puncture. 2. Drug treatment: for syringomyelia caused by infection, anti-infective treatment, such as ceftriaxone, can be given as appropriate. For those with pain caused by huge effusion, analgesic treatment such as Tramadol can be given temporarily. If accompanied by fever, give ibuprofen and other antipyretic treatment. Ibuprofen is contraindicated in pregnant and lactating women. All of the above drugs should be applied under the guidance of a doctor. 3. Surgery: Children under 2 years old need surgery if they have inguinal hernia or large amount of fluid. Sphincter reversal surgery is suitable for those who have no obvious thickening of the sheath. Sphincterotomy is suitable for those with obvious thickening of the sheath, and the chance of recurrence is low. If the patient is not feeling well, it is necessary to consult the doctor for examination and early treatment.