371例老年人腹股沟疝无张力疝修补术的临床经验

目的 探讨老年人腹股沟疝无张力疝修补术的临床经验。方法 回顾分析1999年1月至2002年10月收治的37l例老年腹股沟疝的临床资料。结果 本组全部治愈。术后痛苦小，98％以上患者不用止痛剂，下床活动早，恢复快，并发症少。随访1～46个月，复发1例，复发率0．27％。结论 无张力修补术保持了腹股沟管的正常解剖结构，术中注意修补材料的正确使用和术式“个体化”，可进一步提高治愈率，有效降低术后复发率。适合于老年人疝的外科治疗。

Tension-free repairment of inguinal hernia in 371 aged patients

Objective To evaluate the tension-free repairment of inguinal hernia in aged patients. Methods From January 1999 to October 2002, 371 elder inguinal hernia patients underwent tension-free repairement using Bard Mesh PerFix Plug and Prolene Hernia System (PHS). Results All patients were cured with less pain, early up and around and no major complications. Postoperative 1 to 46 months of follow up found recurrence in one case. Conclusion Tension-free repair of inguinal hernia preserves normal constructure of inguinal canal anatomy and physiology, and suits aged patients well if performed correctly and on case-to-case basis.