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目的探讨腹横纹小切口单纯疝囊高位结扎治疗小儿腹股沟疝的技术要点。方法在静脉复合麻醉下取患侧腹横纹切口,切口长约1cm,切开皮肤,皮下组织,显露皮下环;打开疝囊,剥离疝囊外组织直到疝颈部,于疝颈部结扎、缝扎各一道;不作腹股沟管修补。结果953例复发2例,出现阴囊血肿3例,未见其他并发症。结论腹横纹小切口单纯疝囊高位结扎治疗小儿腹股沟疝是安全、有效的手术方法,相对传统腹股沟切口具有美观、微创、医疗费用低等优点。
Objective To investigate the technical points of high ligation of small transverse incision simple hernia sac in children with inguinal hernia. Methods The lateral ventral incision was obtained under intravenous anesthesia. The incision was about 1 cm long. The skin and subcutaneous tissue were excised and the subcutaneous ring was exposed. The hernia sac was opened and the hernia sac was peeled off until the hernia neck was ligated. Suture each one; not for inguinal canal repair. Results 953 cases of recurrence in 2 cases, 3 cases of scrotal hematoma, no other complications. Conclusions High lumbar transverse incision simple hernia sac ligation in children with inguinal hernia is a safe and effective surgical approach, compared with the traditional groin incision with aesthetics, minimally invasive, low medical costs and so on.