摘要
目的小儿腹股沟疝及交通性鞘膜积液病例中,从外环手术能否达到高位结扎疝囊及鞘突目的。方法 2008年1月～2010年12月间,对58例小儿腹股沟斜疝和24例交通性鞘膜积液病例,均采用小切口先经外环行疝囊或鞘膜游离到高位并结扎,做好标记,再切开腹股沟管继续游离疝囊或鞘膜达到高位后再做好标记,测量两标记间的距离B,如果B大于或等于1.0cm,则认为未能达到高位结扎疝囊和鞘突。结果两组共82例手术,B的平均值约为(1.7±0.2)cm。结论经外环行小儿疝囊高位结扎术及鞘突高位结扎术不能完全达到高位结扎的效果。
Objective The purpose of high ligation of hernial sac and vaginal process whether can be reached through the way of superficial inguinal ring in the case of indirect inguinal hernia and communicating hydrocele in children.Methods From January 2008 to December 2010,the 58 cases of children with inguinal hernia and 24 cases of communicating hydrocele patients all ware used by a small incision through superficial inguinal ring to ligate high hernia sac or vaginal process of peritoneum first,and marked,then cut the inguinal canal to free the hernia sac or vaginal process of peritoneum to achieve high,and then ligated it with silk thread,to measure the distance between the two marker called B.if the value of B is greater than or equal to 1.0 cm,we consider it could not reach the high ligation of the hernia sac and vaginal process of peritoneum.Results A total of 82 cases of pediatric patients,the average value of B was about（1.7±0.2） cm.Conclusion Surgical approach through the superficial inguinal ring could not reach the high ligation of hernial sac and vaginal process of peritoneum in pediatric inguinal hernia and communicating hydrocele.
出处
《中外医学研究》
2011年第16期15-17,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
小儿
外环
内环
小切口
腹股沟斜疝
交通性睾丸鞘膜积液
Children
Superficial
Inguinal ring
Deep inguinal ring
Indirect inguinal hernia
Communicating hydrocele
