【摘要】 目的 探讨老年腹股沟复发疝外科治疗的最佳手术方式。方法 回顾5年内手术治疗60岁以上老年腹股沟复发疝患者56例，采用无张力疝修补和Bassini或Mcvay法修补两组，分别手术治疗。结果 二组在年龄、性别、疝种类方面无差异，二组在术后持续疼痛时间(P<0.05)、再复发(P<0.01)上差异有显著性。而术后并发症二组差异无显著性(P>0.05)。结论 无张力疝修补是老年腹股沟复发疝的最佳选择。

    【关键词】 无张力；复发疝；疝修补术

    【Abstract】 Objective To evaluate mesh plug hernia repair and Bassini or Mcvay repair in old men.Methods 56cases more sixty years old treated in our hospital were reviewed nearly five years.The operation of repairing was performed by mesh plug inguinal rehernia repairing and Bassini or Mcvay repairing.Results Two groups in age，sex and hernia-type was no difference .In complications(P<0.01) and postoperative pain-time(P<0.05)and recurrent rate(P<0.01)were remarkably significant.Conclusion Our preliminary result showed that mesh plug hernia repair is better than that Bassini or Mcvay repair in old men.

    【Key words】 tension free；recurrent hernia；hernia repair

    自1998年1月～2003年1月共行60岁以上老年人疝修补术56例 ......