探讨采用隐匿小切口行疝囊高位结扎术治疗小儿腹股沟疝及交通性鞘膜积液的临床疗效，为临床提供参考。

回顾性分析2010年12月至2024年12月采用隐匿小切口手术治疗的896例（820例患儿）小儿腹股沟疝及鞘膜积液病例的临床资料。统计手术时间、术中出血量、术后并发症、复发率及切口美观度等指标。采用温哥华瘢痕量表（VSS）评估术后1年切口瘢痕情况。

单侧手术平均时间为（8.2±4.5）min，双侧为（14.3±5.8） min。术中出血量均<5 mL。术后总并发症发生率为0.22%（2/896）。同侧复发率为0.67%（6/896），对侧再发率为1.34%（12/896）。术后1年随访685例，VSS评估结果为0分（无可见痕迹）67.2%（460/685），1~3分（轻微痕迹）27.7%（190/685），≥4分（可见瘢痕）5.1%（35/685）。随访期间未见持续性术后疼痛或隐睾等并发症。

隐匿小切口疝囊高位结扎术具有手术时间短、创伤小、恢复快、切口美观且并发症发生率低等优点，是治疗小儿腹股沟疝和交通性鞘膜积液的一种安全有效的术式，尤其适用于基层医疗环境或特定麻醉禁忌的患儿。

To explore the clinical efficacy and postoperative follow-up results of high ligation of hernia sac through concealed small incision in the treatment of inguinal hernia and communicating hydrocele in children, and to provide reference for children with inguinal hernia or communicating hydrocele.

The clinical data of 820 children (a total of 896 surgical procedures) with inguinal hernia or hydrocele treated by concealed small incision surgery from December 2010 to December 2024 were retrospectively analyzed. The operation time, intraoperative blood loss, postoperative complications, recurrence rate and incision aesthetics were collected. Vancouver Scar Scale (VSS) was used to evaluate the incision scar at 1 year after operation.

The average operation time of unilateral surgery was (8.2±4.5) min, and that of bilateral procedures was (14.3±5.8) min. The intraoperative blood loss was less than 5 mL. The total incidence of postoperative complications was 0.22%(2/896). The ipsilateral recurrence rate was 0.67% (6/896), and the contralateral recurrence rate was 1.34%(12/896). One year after the operation, 685 cases were followed up. The VSS evaluation results indicated that the score of 0 (no visible trace) accounted for 67.2%, score of 1-3 (slight trace) accounted for 27.7%, and score ≥4 (visible scar) accounted for 5.1%. There was no persistent postoperative pain or cryptorchidism during the follow-up period.

High ligation of concealed small incision hernia sac has the advantages of short operation time, small trauma, fast recovery, beautiful incision and low incidence of complications. It is a safe and effective surgical method for the treatment of inguinal hernia or communicating hydrocele in children, especially for children in primary care settings or specific anesthesia contraindications.