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我院从1986年10月—1998年5月采用经腹修补鞘状突治疗小儿腹股沟斜疝486例,手术创伤小,无副损伤,复发率低,现报告如下1.临床资料1·1 一般资料 本组486例,男476例,女11例,年龄2个月—12岁,平均6岁1个月。右侧疝403例,左侧疝41例,双侧疝42例,嵌顿疝54例。病程,患儿出生—12年,平均6年。1·2 手术方法 本组486例全部采用氯胺酮麻醉。选择横切口于内环口上方约1.5cm的下腹部自然横纹上。长约2—3cm,依次切开皮肤,皮下组织及腹外斜肌腱膜,分开腹横肌,显露腹膜,然后降低床头,切开腹膜入腹腔。用甲状腺拉钩将腹内容物向上拉起,再
Our hospital from October 1986 to May 1998 with abdominal repair sheath hernia treatment of infantile inguinal hernia in 486 cases, small trauma, no secondary injury, the recurrence rate is low, are as follows 1. Clinical data 1.1 General This group of 486 cases, 476 males and 11 females, aged 2 months -12 years, an average of 6 years and 1 month. There were 403 cases of right hernia, 41 cases of left hernia, 42 cases of bilateral hernia and 54 cases of incarcerated hernia. Course of disease, children born - 12 years, an average of 6 years. 1.2 surgical methods of this group of 486 patients with ketamine anesthesia. Select the transverse incision in about 1.5cm above the inner ring of the lower abdomen on the natural horizontal stripes. Length of about 2-3cm, followed by incision skin, subcutaneous tissue and abdominal oblique aponeurosis, abdominal transverse abdominal division, exposing the peritoneum, and then lower the bed, cut the peritoneal into the abdominal cavity. Use the thyroid pull hook to pull up the abdominal contents, and then