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目的:探讨小儿腹股沟疝术后并发症的防治方法。方法:分析我院1998年~2012年收治的1564例小儿腹股沟疝手术并发症的预防和处理情况。结果:复发4例,再次手术3例。阴囊血肿16例。膀胱损伤2例,阴囊感染并脓肿1例,医源性隐睾1例,输精管及其动静脉损伤1例,无髂腹股沟神经和髂腹下神经损伤。结论:充分的手术准备、良好的手术操作技能、恰当的术后处理是预防和治疗小儿腹股沟疝术后并发症的关键。
Objective: To investigate the prevention and treatment of complications after pediatric inguinal hernia. Methods: The prevention and treatment of 1564 cases of surgical treatment of inguinal hernia in our hospital from 1998 to 2012 were analyzed. Results: Recurrence in 4 cases and reoperation in 3 cases. Scrotal hematoma in 16 cases. 2 cases of bladder injury, 1 case of scrotal infection and abscess, 1 case of iatrogenic cryptorchidism, 1 case of vas deferens and its arteriovenous injury, without inguinal groin and ilio-abdominal nerve injury. Conclusion: Adequate surgical preparation, good surgical skills, proper postoperative management are the key to prevent and treat the complications of pediatric inguinal hernia.