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我院1990年10月至1998年10月共收治小儿腹股沟斜疝508例,现将手术治疗体会报告如下。1 临床资料1.1 一般资料 本组共508例,其中男442例,女66例;年龄在3岁以下289例,3～7岁174例,7岁以上43例。右侧364例,左侧126例,双侧18例。嵌顿疝66例,手法复位成功58例,急诊手术治疗8例。1.2 治疗方法 本组均手术治疗,单纯疝囊高位结扎木434例,修补内环、重迭缝合腹横筋膜48例,加强腹股沟管前壁26例。术后预防性应用抗生素。1.3 术中损伤及术后并发症 术中损伤膀胱3例,损伤输精管4例,损伤血管2例,损伤髂腹下神经6例。
Our hospital from October 1990 to October 1998 were treated in children with inguinal hernia 508 cases, now the surgical treatment experience report is as follows. 1 Clinical data 1.1 General information The group a total of 508 cases, of which 442 were male and 66 females; under the age of 3 in 289 cases, 174 cases of 3 to 7 years old, 43 years of age over 7 years. The right side of 364 cases, left 126 cases, bilateral 18 cases. 66 cases of incarcerated hernia, successful reduction of 58 cases of manual operation, 8 cases of emergency surgery. 1.2 Treatment of surgical treatment of this group were simple high ligation of ligaments herniation 434 cases of wood, repair the inner ring, overlapping sutures 48 cases of transverse fascia, strengthening the anterior wall of the inguinal canal in 26 cases. Postoperative prophylactic antibiotics. 1.3 Intraoperative injury and postoperative complications Surgery in 3 cases of bladder injury, damage to the vas deferens in 4 cases, vascular injury in 2 cases, 6 cases of ilio-abdominal injury.