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我科对40例(48侧)反复发作或有手法整复史的新生儿、幼婴腹股沟斜疝行疝囊高位结扎术。其中女2例,男38例(46侧)。年龄为生后6小时~5个月,平均3.5个月。全部病例在氯胺酮麻醉下行疝囊高位结扎术。21例获门诊随访,随访时间8个月~1年8个月。嵌顿疝手法整复后复发2例,术后对侧出现疝1例。无一例出现睾丸萎缩或隐睾。讨论1.新生儿及幼婴腹股沟斜疝肿物脱出位置多位于腹股沟皮下环处。此处皮下脂肪组织丰富,不易被早期发现。有的初发即嵌顿,家长常说不清确切嵌顿
My department of 40 cases (48 sides) recurrent or have the rectification of history of newborns, infant infantile inguinal hernia sac high ligation. There were 2 females and 38 males (46 sides). Age 6 hours after birth to 5 months, an average of 3.5 months. All cases under high ketamine anesthesia hernia sac ligation. 21 cases were outpatient follow-up, follow-up time of 8 months to 1 year and 8 months. Incarcerated hernia recurrence after surgery in 2 cases, after a contralateral hernia in 1 case. No case of testicular atrophy or cryptorchidism. Discussion 1. Neonatal and infant infants with inguinal hernia mass prolapse at the groin subcutaneous ring and more. Subcutaneous adipose tissue here is rich, not easy to be found early. Some initial imprisonment, parents often can not tell the exact incarcerated