[摘要] 目的 分析探讨无张力山修补术治疗中老年腹股沟疝的临床疗效。方法 收集2008年5月-2010年5月我科收治的56例中老年腹股沟疝患者，男性38例(67%)，其中双侧3例(5.3%)，复发2例(3.5%)。女性18例(33%)其中双侧1例(1.7%)，股疝4例(7.1%)。患者均采用疝环充填式无张力山修补术治疗。结果 本组56例患者手术后全部治愈，术后无复发，手术时间和住院时间较短，手术时间45-70min，术后疼痛轻，无患者需使用静脉镇痛泵，术后患者病情恢复快，均予3天下床，1月内避免负重。术后随诊12月。所有患者均无复发，也无明显不适感。结论 疝环充填式无张力山修补术能缩短手术时间，减少手术创伤，手术安全，复发率低，适宜于基础医院应用。

    [关键词] 无张力山修补术； 中老年； 腹股沟疝

    [中图分类号] R656.2+1 [文献标识码] A [文章编号] 1005-0515(2011)-12-035-01

    [Abstract] Objective To analysis of tension-free hernioplasty in the treatment of hill of inguinal hernia in elderly clinical curative effect. Methods Collected from 2008 May-2010 May in our department were analyzed in 56 cases of elderly patients with inguinal hernia,38 cases of male (including bilateral in 3 cases,2 cases relapsed)；18 female patients (1 cases in which bilateral femoral hernia,4 cases).Patients were treated with tension-free hernioplasty in the treatment of the mountain. Results In this group of 56 patients after operation were cured,no relapse after the operation,operation time and hospital stay shorter and operation time is 45-70min,less postoperative pain, none of the patients required the use of intravenous analgesia pump after operation, patients recovered quickly, to the 3 World bed,in January to avoid weight-bearing. Postoperative follow-up from December.All patients had no recurrence, no obvious discomfort. Conclusion Hernia ring filling tension-free Hill repair operation time can be shortened,reduced operation trauma,operation safety,low recurrence rate,suitable for the basic hospital application. ......