小儿鞘状突未闭性疾病包括小儿腹股沟斜疝和小儿鞘膜积液,多需要手术治疗。以往多采用耻骨上横纹切口及平行于腹股沟韧带的斜切口,因其损伤大,暴露差,使手术时间延长。自1994年以来我们采用外环口正前方小切口治疗小儿鞘状突未闻性疾病500例,平均手术时间约10 min,术后恢复良好,无并发症发生。1 手术方法 于耻骨结节略外上方相当于外环口处,用手指扪及精索组织,于其前方切取长约1.5cm皮肤横切口,剪开皮下组织 Pediatric sheath herniation closed disease, including children with inguinal hernia and pediatric hydrocele, and more need for surgical treatment. In the past the use of suprapubic incision and parallel to the inguinal ligament oblique incision, because of its damage, exposure is poor, so that the operation time is extended. Since 1994, we use 500 small incisions in front of the outer ring mouth to treat pediatric patients with non-ocular sheath disease, the average operation time of about 10 min, postoperative recovery was good, no complications. A surgical approach to the pubic tubercle slightly outside the top of the outer ring is located at the palpable palpable spermatic cord tissue in front of it cut a length of about 1.5cm skin transverse incision and cut the subcutaneous tissue