[摘要] 目的 总结腹外疝无张力修补术经验。方法 报道78例并搜索1997～2005年国内公开发表中文文献共40364例，所得资料荟萃分析。结果 (1)无张力疝修补术用于老年人占75.1%，少年儿童占0.0%，用于腹股沟疝占99.3%；(2)硬膜外麻醉占80.6%，局部麻醉占16.8%；Rutkow术占80.8%，Lichtenstein法占15.0%；(3)进口材料修补占96.5%，国产材料修补占2.9%；(4)术前并存症占17.9%，术后并发症发生率为18.0%；(5)24h内下床活动占93.8%，3周内恢复正常活动者占99.1%，7天以内住院日者占90.4%；(6)手术死亡率0.007%，随访死亡率0.05%，随访疝复发率0.60%。结论 无张力疝修补术具有手术时间短、术后下床活动早、恢复正常活动快、并发症少、复发率低等优点，主要用于老年人腹股沟疝，有并发症及复发性疝，不用于儿童疝，手术可在硬膜外麻醉或局麻下进行，最好选用进口材料修补，规范技术操作，预防切口感染，加强高龄Ⅳ型疝及老慢支病人处理，可进一步降低复发率。

    [关键词] 腹外疝；无张力；修补术

    Meta analysis of 40364 cases of tension-free hernioplasty of the abdominal external hernia in Chinese

    HE Jian-jun.Department of General Surgery,Ningxiang People’s Hospital,Ningxiang 410600,China

    [Abstract] Objective To summarize experience of tension-free hernioplasty of the abdominal external hernia.Methods Reporting 78 cases and search the Chinese document of internal public publishes tension-free hernioplasty of external hernia on the Internet from 1997 to 2005,and meta analysing the information.Results (1)The tension-free hernoplasty apply old people occupied 75.1%,and apply early youth children occupied 0.0%,and apply inguinal femoral hernia occupied 99.3%;(2)The dura mater cavity external anaesthesia occupied 80.6%,local anaesthesia occupy 16.8%,Rutkow occupied 80.8%,and Lichtenstein occupied 15.0%;(3)The imported material preparation occupied 96.5%,and home material preparation occupied 2.9%;(4)The compatible disease of before operation occupied 17.9%,and complication after operation occupied 18.0%;(5)The get out of bed activities in the 24 hours occupied 93.8%,and return to normal activities in the 3 weeks occupied 99.1%,and average be in hospital in the 7 days occupied 90.4%;(6)The death rate of operation was 0.007%,and death rate of follow up was 0.05%,and relapse rate of follow up was 0.59%.Conclusion Tension-free herinolasty possess merit:operation times is short,get out of bed activities after operation is early,return to normal activities is fast,complication few,a relapse rate is low.It main adapt to inguinofemoral hernia of old people,have complication and have a relapse,and not adapt to inguinofemoral hernia of early youth children.Operation is be in progress under dura mater cavity anaesthesia and local anaesthesia.The best preparation material is import material.Standard technology operate,and prevent cut infection,and strengthen dispose of patient of the advanced age Ⅳ hernia and old people slow bronchitis,be conducive to cut down the relapse rate. ......