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目的探讨儿童沟疝的手术治疗方法和术后效果。方法患儿在氯胺酮或连续硬膜外麻醉下,取患侧腹横纹下2cm处作横行切口长1～1.5cm行疝囊高位结扎术和缩小外环口术,皮肤切口用3个零或4个零华利康可吸收线行皮内缝合。结果手术时间10～20min,术中损伤小,术后患儿均无明显疼痛不适,术后3～7d复查伤口均无红肿愈合良好,术后效果满意。随访3～6个月无1例复发。结论此种手术方法简单,易操作,手术时间短,术中损伤小,术后患儿痛苦小,恢复快,不需要特殊护理,不必禁下地,术后不需拆线,不需住院,门诊治疗。
Objective To investigate the surgical treatment and postoperative effects of children’s hernia. Methods Children under ketamine or continuous epidural anesthesia, abdomen and abdomen 2cm below the abdomen transverse incision length of 1 ~ 1.5cm Hernia sac high ligation and reduction of the outer ring incision, the skin incision with three zero or 4 Zero Hua Li Kang absorbable line of skin suture. Results The operation time was 10 ~ 20min. There was no intraoperative injury and no obvious pain and discomfort. No recurrence of wounds was observed after 3 ~ 7d after operation. The postoperative results were satisfactory. No recurrence occurred in 3 to 6 months follow-up. Conclusion The operation method is simple, easy to operate, operation time is short, intraoperative injury is small, postoperative pain and recovery in children with less, no special care, do not have to forbidden, postoperative without stitches, without hospitalization, outpatient treatment.