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目的:观察小儿腹股沟斜疝传统疝囊高位结扎术进行改良,降低小儿斜疝术后复发的可行性。方法:回顾性分析我院306例小儿腹股沟斜疝患儿的临床资料,采用传统的经腹股沟小横切口疝囊高位结扎术基础上的改良疝囊高位结扎术,术中将腹膜外脂肪分离,向里再分离2～3 cm,将疝囊颈往上提直至将疝囊后壁收紧为止。结果:全部病例均行此改良疝囊高位结扎术,随访无复发。结论:小儿腹股沟斜疝采用改良疝囊高位结扎术,操作简便,并发症少,明显降低了术后复发率,效果满意。
Objective: To observe the improvement of traditional high ligation of inguinal hernia in children with inguinal hernia and to reduce the possibility of relapse after oblique hernia in children. Methods: A retrospective analysis of 306 cases of children with inguinal hernia in children with clinical data, the use of the traditional small transverse incision hernia sac ligation based on improved high ligation hernia sac ligation, intraoperative extraperitoneal fat separation, To further separation of 2 ~ 3 cm, the hernia sac neck up until the hernia sac after the wall tightened up. Results: All cases were performed high ligation improved hernia sac, no recurrence. Conclusion: Inguinal hernia inguinal hernia improved ligation of high ligation, simple, less complications, significantly reduced the recurrence rate, the effect is satisfactory.