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目的探讨下腹横纹小切口治疗小儿先天性腹股沟区外科疾病的方法。方法对312例小儿先天性腹股沟外科疾病采取患侧以腹股沟管内环为中点下腹最低位皮肤皱纹作横小切口治疗。其中,男性患儿304例中腹股沟斜疝203例,鞘膜积液63例,隐睾38例;女性患儿8例中腹股沟斜疝7例,Nuck管囊肿1例。结果所有手术均成功,手术时间15～65min,平均25min,术中出血平均5ml,术后3～7d出院,平均4.6d,无阴囊血肿及切口感染,随访0.5～3年无复发病例。结论下腹横纹小切口治疗小儿先天性腹股沟外科疾病切口小、创伤小、恢复快、达到美学效果。
Objective To discuss the method of treating the congenital groin area surgical diseases in the abdomen with transverse small incision. Methods 312 cases of congenital inguinal surgical diseases in children take ipsilateral inguinal canal as the midpoint of the lowest abdominal skin wrinkles for lateral small incision treatment. Among them, there were 203 cases of inguinal indirect hernia, 63 cases of hydrocele and 38 cases of cryptorchidism in 304 cases of male children; 7 cases of inguinal indirect hernia in 7 cases of female children and 1 case of Nuck cyst. Results All operations were successful. The operation time was 15-65 minutes with an average of 25 minutes. The mean intraoperative bleeding was 5ml. The patients were discharged from 3 to 7 days after operation. The average time was 4.6 days. There was no scrotal hematoma and incision infection. Follow-up was 0.5-3 years without recurrence. Conclusion Small incision of abdomen and transverse stripes in the treatment of congenital inguinal diseases in children with small incision, less trauma, rapid recovery, to achieve the aesthetic effect.