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小儿右侧腹股沟斜疝术后直疝1例

JOURNAL OF CLINICAL PEDIATRIC SURGERY(2013)

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Abstract
患儿,男,13岁,因右侧腹股沟斜疝术后复发1年余入院.患儿6岁时被发现其右侧腹股沟有一可复性包块,久立或活动后出现,不坠入阴囊,卧位或按压后消失.于1年前至本院就诊,诊断为右侧腹股沟斜疝,给予传统开放手术治疗,术中证实为右侧腹股沟斜疝,并行右侧疝囊高位结扎术.术后1个月发现右侧腹股沟包块复发.体查:腹平软,右侧腹股沟可见陈旧性手术瘢痕,并可扪及一肿块,大小约2 cm×3 cm×3 cm,质软,无触痛,边界清楚,基底较宽,透光试验(-),不坠入阴囊,可完全回纳,左侧腹股沟未扪及包块,双睾丸在于阴囊内可扪及.
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