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目的总结内环口高位结扎加脐内侧襞加强内环孔治疗儿童腹股沟斜疝的效果。方法回顾性分析2007年10月至2012年12月,新疆生产建设兵团农六师奇台医院收治单侧易复性腹股沟斜疝患儿65例,64例行环形缝合结扎内环口,1例女性患儿脐正中襞和脐内侧襞均短窄,仅行内环口高位双重结扎。结果本组65例患儿,63例完成单侧手术,1例完成双侧计划手术,1例改行其他手术。随访14～56个月,术后出现并发症2例,持续4～16 d逐渐消失。无出血、缺血性睾丸炎、阴囊血肿、血清肿和腹壁僵硬不适感等并发症,未见复发。结论内环口高位结扎加脐内侧襞加强内环孔治疗儿童腹股沟疝简单易学,安全可靠。
Objective To summarize the effect of lumbar intervertebral hernia treated by high ligation of the internal ring mouth and medial umbilical cord to strengthen the inner ring hole. Methods Retrospective analysis from October 2007 to December 2012, Xinjiang Production and Construction Corps Nong 6 division Qitai Hospital admitted 65 patients with unilateral herniated inguinal hernia, 64 patients underwent annular suture ligation of the inner mouth, 1 case Female children with mid-umbilical 襞 and umbilical 襞 are short and narrow, only high intra-annular double ligation. Results The group of 65 children, 63 patients completed unilateral surgery, 1 case completed bilateral plan surgery, 1 case diverted to other surgery. Follow-up 14 to 56 months, 2 cases of postoperative complications occurred, continued 4 ~ 16 d gradually disappear. No bleeding, ischemic orchitis, scrotal hematoma, seroma and abdominal stiffness and discomfort and other complications, no recurrence. Conclusion High ligation of the internal ring mouth plus medial umbilical 襞 strengthen the inner ring hole treatment of children with inguinal hernia simple and easy to learn, safe and reliable.