腹横纹横形小切口并皮肤拉拢法治疗小儿腹股沟疝的临床应用[摘要]目的探讨基层医院采用腹横纹横形小切口并皮肤拉拢法治疗小儿腹股沟疝的临床效果。方法选取2006年5月～2012年12月在遂川县巾石乡中心卫生院手术治疗腹股沟疝的患儿80例，将患者按照手术方式分为腹横纹横行小切口并皮肤拉拢法组（改进组）和传统手术组（对照组），每组各40例。比较两组的手术切口长度、手术时间、住院时间、切口瘢痕等。结果改进组的切口长度为（1.5±0.55）cm，对照组为（3.3±0.45）cm，改进组的手术时间为（20±9）min，对照组为（34±10）min，改进组的住院时间为（2.7±1）d，对照组为（4.8±1.5）d，改进组的住院费用为（1450±150）元，对照组为（1980±150）元，改进组的术后切口瘢痕为（1.5±0.55）cm，对照组为（3.3±0.45）cm，两组的上述指标比较差异有统计学意义（P＜0.05），改进组手术切口优于对照组。结论腹横纹横形小切口并皮肤拉拢法治疗小儿腹股沟斜疝切口小、损伤小、操作简单、切口美观无明显瘢痕、住院时间短、住院费用低，值得在基层医院推广应用。[关键词]腹横纹横形小切口；皮肤拉拢法；腹股沟疝；临床应用[]R656.2+1[文献标识码]B[]1674-4721（2014）05（c）-0175-03ClinicalapplicationofabdominaltransversestriationsmalltransverseincisioncombinedwithskindrawingmethodintreatmentofchildrenwithinguinalherniaHUYong-sheng1YUANWu-sheng21.MaternalandChildHealthHospitalofSuichuanCountyin激angxiProvince,Suichuan343900,China;2.CaolinCentralHealthCenterofSuichuanCountyin激angxiProvince,Suichuan343900,China[Abstract]ObjectiveToinvestigatetheclinicaleffectofabdominaltransversestriationsmalltransverseincisioncombinedwithskindrawingmethodtreatinginguinalherniainchildreninprimaryhospitals.Methods80childrenwithinguinalherniatreatedbyoperationinourhospitalfromMay2006toDecember2012wereselectedanddividedintotheabdominaltransversestriationsmalltransverseincisioncombinedwithskindrawingmethodgroup(theimprovementgroup)andthetraditionaloperationgroup(thecontrolgroup)andtherewere40casesineachgroup.Thesurgicalincisionlength,operativetime,lengthofstay,incisionscarandotherindicatorsofthetwogroupswerecompared.ResultsTheincisionlengthwas(1.5±0.55)cmintheimprovementgroupand(3.3±0.45)cminthecontrolgrouprespectively,theoperativetimewas(20±9)minutesintheimprovementgroupand(34±10)minutesinthecontrolgrouprespectively,thelengthofstaywas(2.7±1)daysintheimprovementgroupand(4.8±1.5)daysinthecontrolgrouprespectively,thehospitalizationcostwas(1450±150)yuanintheimprovementgroupand(1980±150)yuaninthecontrolgrouprespectivelyandtheincisionscarwas(1.5±0.55)cmintheimprovementgroupand(3.3±0.45)cminthecontrolgrouprespectively,andtherewasastatisticaldifferenceofthetwogroups(P<0.05).Theimprovementgroupwasbetterthanthecontrolgroupinthesurgicalincision.ConclusionInthetreatmentofpediatricobliqueinguinalhernia,abdominaltransversestriationsmalltransverseincisioncombinedwithskindrawingmethodhastheadvantagesofsmallincision,smallinjury,easyoperation,beautifulincisionwithoutobviousscar,shorthospitalstayandlowhospitalizationcost,therebyitisworthyofpromotionandapplicationinprimaryhospital.[Keywords]Abdominaltransversestriationsmalltransverseincision;Skindrawingmethod;Inguinalhernia;Clinicalapplication儿童的腹股沟疝几乎都是腹股沟斜疝，是临床上比较常见的小儿普通外科疾病，几乎均是先天性鞘状突未闭，其特点是疝囊后壁与精索紧贴。据文献统计，1岁以内的婴儿尸体解剖发现鞘状突未闭达57%，而临床上有疝的表现者，数字小得多[1]。腹壁强度降低时，腹腔内脏器被增高的腹内压力挤入先天形成的未闭鞘状突，形成了腹股沟疝。腹内压力增高...