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目的探讨小儿斜疝这一常见手术的最佳方式,操作要点及并发症的预防措施。方法对比分析完全切除疝囊,高位贯穿缝扎与高位内荷包缝合二种常用方法术中、术后情况。结果完全切除,贯穿缝扎手术200例,平均(30±10)min,复发1例。高位内荷包缝扎171例,平均(25±10)min,复发7例,形成明显睾丸鞘膜积液2例。结论小儿斜疝使用完全切除疝囊高位缝扎术式效果好,复发率低,优于内荷包高位缝合法。
Objective To investigate the best method of operation, the main points of operation and the preventive measures of complications in children with hernia. Methods Comparing and analyzing the two commonly used methods of complete removal of the hernia sac, high through the suture and high purse suture within the operation and postoperative conditions. The results of complete resection, through the suture surgery in 200 cases, an average of (30 ± 10) min, 1 case of recurrence. In the high-position purse suture 171 cases, with an average of (25 ± 10) min, recurrence in 7 cases, the formation of significant testicular hydrocele in 2 cases. Conclusions The use of total suture removal of hernia sac in children with oblique hernia is effective and the recurrence rate is low, which is better than the high suture method in the charge pouch.