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目的:探讨横切口无张力疝修补术及小儿斜疝疝囊高位结扎术的手术方式、手术效果、的研究。方法:从2000年-2013年随机采用横切口,治疗成人腹股沟疝215例,小儿腹股沟斜疝132例观察其疗效,并同期采用传统腹股沟疝切口改进型无张力疝修补术治疗成人192例,小儿腹股沟斜疝123例进行对比研究。结果:1横切口组无论切口疤痕长度、宽度、局部不适等方面均优于传统切口组(P<0.05);而手术时间、住院费用、住院时间、术后并发症方面无明显差别。2改进型疝手术复发率低。而手术时间、住院费用、住院时间、术后并发症方面也无明显差别。结论:横切口治疗腹股沟疝,切口疤痕小,尤其是小儿随着生长发育,切口疤痕明显短于斜切口,且大部分切口由于顺着皮纹,随着时间的推移组织的不断修复变得不明显,局部不适少。改进型疝手术复发率低。横切口疝手术,改进型疝手术值得在基层医院推广。
Objective: To study the surgical methods and surgical effects of transverse incision tension-free hernia repair and pediatric oblique hernia hernia sac high ligation. Methods: From 2000 to 2013, a total of 215 adult inguinal hernias and 132 children with inguinal hernias were randomly treated with transverse incision. The therapeutic effect was observed in 132 cases of hyperthyroidism. In the same period, 192 cases of adult hypertensive hernia repair were treated with traditional inguinal hernia incision. Inguinal hernia inguinal 123 cases were compared. Results: The transverse incision group was superior to the traditional incision group in terms of incision scar length, width and local discomfort (P <0.05). There was no significant difference in operation time, hospitalization cost, hospitalization time and postoperative complications. 2 improved hernia surgery recurrence rate is low. The operation time, hospital costs, hospital stay, postoperative complications no significant difference. CONCLUSIONS: Inverse inguinal inguinal hernia has a small scar at the incision, especially in children with growth and development. The incision scar is significantly shorter than the oblique incision, and most incisions follow the dermatoglyphics. The constant repair of the tissue does not become over time Obviously, local discomfort less. Improved hernia surgery recurrence rate is low. Transverse incisional hernia surgery, improved hernia surgery worth promoting in primary hospitals.