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目的分析下腹横纹小切口治疗小儿腹股沟斜疝与腹腔镜治疗小儿腹股沟斜疝内环缝合并疝囊高位结扎术疗效。方法2004年1月～2007年4月经下腹横纹小切口治疗小儿腹股沟斜疝1131例,使用腹腔镜治疗小儿腹股沟斜疝内环缝合并疝囊高位结扎术124例。结果用两种方法治疗小儿腹股沟斜疝1255例病儿均痊愈出院。结论使用下腹横纹小切口治疗小儿腹股沟斜疝与腹腔镜治疗小儿腹股沟斜疝内环缝合并疝囊高位结扎术均是一种好方法,但腹腔镜治疗小儿腹股沟斜疝内环缝合并疝囊高位结扎术更为有优越性,阴囊无水肿、不破坏腹股沟结构、能探查对侧,值得临床推广使用。
Objective To analyze the curative effect of small incision of inferior abdomen and transverse stripes in the treatment of infantile inguinal hernia and laparoscopic treatment of infantile inguinal hernia internal ring suture combined with high ligation of hernia sac. Methods From January 2004 to April 2007, 1131 children with inguinal hernia were treated with small incision in the inferior abdomen. 124 cases of pediatric inguinal hernia were treated with laparoscopy and high ligation of hernia sac. Results Two methods were used to treat 1255 children with inguinal hernia. Conclusion The treatment of inguinal hernia and laparoscopic inguinal hernia in children with inguinal oblique small incision is a good method for the treatment of pediatric inguinal hernia suture and high ligation of the hernia sac. However, laparoscopic treatment of pediatric inguinal hernia with suture and hernia sac High ligation is more superiority, scrotum no edema, does not destroy the groin structure, can explore the contralateral, it is worth to promote the use of the clinic.