小儿腹股沟斜疝在临床上甚为多见。我院从1989～1996年采用腹横筋膜重叠缝合修补小儿腹股沟斜疝108例,术后随防,取得良好效果。现报道如下。 1.临床资料 本组小儿腹股沟斜疝108例,年龄1岁以内9例,1～3岁62例,4～6岁23例,7～12岁14例。其中男102例,女6例。腹股沟右侧88例,左侧16例,双侧4例,其中嵌顿疝46例,均采用疝囊高位结扎加腹横筋膜重叠缝合修补后壁。 2.手术方法 本组手术采用腹股沟管斜切口法,切开腹外斜肌腱膜,切开疝囊后于疝颈部高位结扎,远端疝囊止血后不切除,患儿常有腹横筋膜薄弱区,将腹横筋膜下方的腹膜外脂肪充分游离,用“1”号丝线将腹横筋膜的内侧片“U”字形缝合于外侧深面,再将外侧片重叠缝合在内侧片前面各2～3针,修补内环,使修补后的 Inguinal hernia in children is very common in clinical practice. Our hospital from 1989 to 1996, the use of transverse fascia overlapping suture repair inguinal hernia in children 108 cases, with the anti-postoperative, and achieved good results. Report as follows now. 1. Clinical data of the group of children with inguinal hernia in 108 cases, 9 cases of age within 1 year, 62 cases of 1 to 3 years old, 23 cases of 4 to 6 years old, 7 to 12 years old in 14 cases. There were 102 males and 6 females. The inguinal right 88 cases, 16 cases of left, bilateral in 4 cases, including 46 cases of incarcerated hernia, were used high ligation hernia sac plus abdominal fascia overlapping suture repair the posterior wall. 2. Surgical methods The operation of this group of patients with inguinal canal oblique incision, incision of the external oblique aponeurosis, hernia sac incision after high cervical ligation, distal hernia sac not resection after hemostasis, children often have transverse fascia Weak area, the abdominal transverse fascia below the peritoneal fat fully free, with the “1” number of the transverse fascia medial film “U” shape sutured to the outside of the deep, and then overlap the outer side of the medial in front of the film 2 ~ 3-pin, repair the inner ring, so that after the repair