Objective To estimate the clinical value of curing children Oblique inguinal hernia through scrotum's small professional jargon.Methods 101 children with Oblique inguinal hernia through scrotum's small incision were regaled as the observation group.They were in our hospital from March 2006 to October 2008.98 patients of children Oblique inguinal hernia through small transverse incision on the surface projection of the perficial inguinal ring were regarded as the control group.They Were in our hospital from August 2003 to February 2006.The operation time,the blood loss in operation,the postoperative serotal hematoma,the wound healing,the postoperative recidivation were analyzed and compared.Results The operation time,the wound healing and the postoperative reeidivation were not obviously different between the two groups.The blood loss in operation and the postoperative scrotal hematoma were obviously different between the two groups(P＜0.05);The later average time was shorter than that of the control group through observing the operation time in different stage of the observation group.There was no obviously incision trace in the observation group.Conclusion The method of curing children Oblique inguinal hernia through scrotum's small professional jargon was more direct and easier to operate when finding sac of hemia furthermore,neision concealment.so it has clinical value.

Objective To investigate the value of electrocardiographic parameters in assessing severe coronary artery lesions in patients with coronary artery disease.Methods A total of 364 patients with coronary heart disease admitted to the Second Affiliated Hospital,Zhengzhou University from January 2022 to September 2023 were selected as the subjects.The patients were divided into severe lesion group(n=123)and non-severe lesion group(n=241)based on the Gensini score.The two groups were compared in terms of baseline data and electrocardiographic parameters.Logistic regression was used to analyze the factors affecting severe lesions and the efficacy of ECG parameters assessment.A column-line plot of ECG parameters to assess severe lesions was created.The joint incremental value of ECG parameters and the area under the ROC curve for assessing severe lesions were calculated.Results The patients in the severe lesion group were elder in age and they showed significantly higher rates in creatine kinase isoenzyme,amino-terminal brain natriuretic peptide precursor,QRS time frame,frontal QRS-T pinch angle,smoking,hypertension,diabetes mellitus,pathologic Q waves,left ventricular hyper voltage,fragmented QRS waves,and significantly lower rates in low HDL cholesterol and ejection fraction,as compared to the non-severe lesion group(all P<0.05).Logistic regression analysis showed that pathological Q waves(OR=3.71,95%CI:1.93～7.15,P<0.001),left ventricular hyper voltage(OR=5.05,95%CI:1.66～15.41,P=0.004),fragmented QRS waves(OR=2.17,95%CI:1.14～4.11,P=0.018),and frontal QRS-T pinch angle(OR=1.01,95%CI:1.00～1.02,P=0.023)were the factors for assessing severe lesions.The incremental value of combined ECG parameters for severe lesions:C-statistic 0.09(95%CI:0.02～0.16,P=0.009),NRI 0.37(95%CI:0.20～0.55,P<0.001),and IDI 0.12(95%CI:0.08～0.17,P<0.001).The ROC curves showed an AUC of 0.79(95%CI:0.74～0.84,P<0.001),a sensitivity of 63.41%,and a specificity of 85.89%for the combined assessment of severe lesions by ECG parameters.Conclusion The combined observations of electrocardiographic parameters such as pathologic Q waves,left ventricular hyper voltage,fragmented QRS waves,and frontal QRS-T pinch angle have an affirmativeclinical value in the assessment of severe lesions.