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［目的］寻找创伤小、效果好的造口旁疝修补方法。［方法］舌状皮瓣以腹壁上动静脉和肋间动静脉为供应血管，切口的内侧直线部分与原手术正中切口重叠，“舌尖”弧线部分近似以造口为圆心以５ｃｍ长为半径的圆弧，连接外侧直线为内侧直线的镜象对称线。沿深筋膜表面发展皮瓣便能找到疝囊、疝环即可子以修补。［结果］共施行５例，并发症有造口末端缺血坏死１例，暂时性皮瓣边缘缺血２例，造口周围皮肤凹陷１例。［结论］经舌状皮瓣切口修补造口旁疝手术创伤局限于腹壁皮下，对腹腔扰乱小，修补方便。但若因过分考虑修补牢度而清除造口周围脂肪可造成修补后造口周围皮肤凹陷及造口末端缺血坏死。
[Objective] To find a method for repairing parastomal hernia with less trauma and good effect. [Methods] The tongue flaps were supplied with blood vessels from the epigastric arteriovenous and intercostal arteries and veins. The medial rectilinear portion of the incision overlapped with the midline incision of the original operation. The “apical tip” arc portion approximated the ostium as the center with a radius of 5 cm long. The arc of the circle is the mirror-image symmetry line connecting the outer straight line to the inner straight line. The development of flaps along the surface of deep fascia can find the hernia sac and hernia ring to repair it. [Results] Five cases were co-administered. The complications included one case of ischemic necrosis at the end of the stoma, two cases of temporary flap peripheral ischemia, and one case of skin around the stoma. [Conclusion] The surgical wounds of the paranasal fistula repaired by the incision of the tongue flap were confined to the subcutaneous abdominal wall. The disruption of the abdominal cavity was small and the repair was convenient. However, if the fat around the stoma is removed due to excessive consideration of the repairing fastness, the skin around the stoma after repair and the ischemic necrosis at the end of the stoma can be caused.