目的:探讨剖宫产术同时行腹股沟斜疝修补术的新手术方法,临床效果及可行性。方法:自1995年4月至今,我院已行此手术30例。采用先行剖宫产术再行疝囊高位结扎方法,然后用4号丝线间断地将构成腹股沟管的弓状纤维与腹股沟韧带缝合在一起,缩小了腹环,使腹环仅能容一小指尖,同时关闭了腹股沟管后壁薄弱区,再间断缝合管后壁腹横筋膜加固管的后壁。结果:30例妊娠合并斜疝孕妇,术后随访目前无1例病人又有斜疝发生及其他并发症发生,治愈率100,而单纯疝囊高位结扎术复发率大约5左右〔1〕。结论:此手术方法因从根本上封闭了管后壁薄弱区,因此不易复发,优于单纯疝囊高位结扎术,获得显著效果,减轻了患者经济负担和痛苦,术式安全、简单,易于操作,具有临床采用价值和可行性。 Objective: To explore the new surgical method of cesarean section with inguinal hernia repair, its clinical effect and feasibility. Methods: Since April 1995 to date, our hospital has performed 30 cases of this operation. Cesarean section using the first line of hernia sac and high ligation again, and then use the 4th thread intermittently the inguinal canal composed of arcuate fibers and inguinal ligament suture together, reducing the abdominal ring so that the ring can only accommodate a small fingertip , While the closure of the posterior wall of the inguinal canal weak zone, and then intermittent suture the posterior wall of the abdominal fascia reinforcement. Results: 30 cases of pregnant women with hernia, postoperative follow-up at present there is no one patient has another incidence of oblique hernia and other complications, the cure rate of 100, and simple hernia sac high ligation recurrence rate of about 5 〔1〕. Conclusion: This surgical method is basically closed the weak area of ​​the posterior wall of the tube, so it is not easy to relapse, which is superior to the high ligation of simple hernia sac, which has a significant effect and relieves the patient’s financial burden and suffering. The operation is safe, simple and easy to operate , With clinical value and feasibility.