作者单位：276200 山东省临沂市蒙阴县界牌镇卫生院

    通讯作者：林正堂

    【摘要】 目的 总结无张力疝修补术治疗老年人腹股沟复发疝的经验。 方法 回顾性分析无张力疝修补术在治疗40例老年人腹股沟复发疝中的应用。结果 40例患者手术顺利，平均手术时间45 min，平均住院时间7.0 d。术后并发症：尿潴留6例，阴囊积液3例，对症治疗均痊愈，无切口感染及液化。40例患者均随诊1～4年，无再复发。结论 无张力疝修补术应作为治疗老年人腹股沟复发疝的首选术式。

    【关键词】 疝； 复发； 无张力疝修补术

    Clinical applications of tension-free hernia repair in treatment of recurrent inguinal hernia in the elderly LIN Zheng-tang.Jiepai Hospital of Mengyin, Mengyin 276200,China

    【Abstract】 Objective To summarize the experience in the tension-free hernioplasty in the treatment of recurrent inguinal hernia.Methods Analyze the data of tension-free hernioplasty in the treatment of recurrent inguinal hernia during 2004-2008 in our hospital retrospectively.Results Surgery in 40 patients was successful with an average surgery time 45minutes and an average length of hospitalization 7.0 days. Post-operative complications were urinary retention in 6 cases and 3 case of scrotal effusion; all were cured after symptomatic treatment with no incision infection or liquefaction. Twenty five patients were followed up for 1-4 years with no recurrence.Conclusion The tension-free hernioplasty is the therapy of preferred choice for adult patient with recurrent inguinal hernia. ......