无张力疝修补术治疗腹股沟嵌顿疝45例体会

目的:探讨无张力疝修补术治疗成人腹股沟嵌顿疝的临床效果。 方法：回顾性分析无张力疝修补术治疗45例腹股沟嵌顿疝患者（包括平片式修补Lichtenstein术12例、疝环充填式Rutkow术31例及经腹股沟切口Kugel腹股沟疝修补术2例）的临床资料。 结果：45例手术过程均顺利。无切口感染和排异反应，无术后死亡。所有患者术后3个月获得门诊随访，未见复发。 结论：无张力疝修补术在治疗成人腹股沟嵌顿疝有良好效果。

Tension-free herniorrhaphy in treatment of incarcerated inguinal hernia:a report of 45 cases

Objective To evaluate the clinical effects of tension-free herniorrhaphy in treatment of incarcerated inguinal hernia(IIH) in adults.Methods A retrospective study was made on analysing the clinical data of 12 cases of IIH treated by Lichtenstein hernioplasty,31 cases of IIH by mesh-plug hernia repair and 2 cases by Kugal herniorrhaphy.Results There was no infection of incisional wound,rejection of foreign materials,and no operative mortality.All the patients were followed-up for three months,no hernia recurrence was observed.Conclusions Tension-free herniorrhaphy in treatment of incarcerated inguinal hernia in adults is a effective method with very satisfactory results.