[摘要] 目的 评价赫美T4补片在老年患者腹股沟疝无张力修补中的临床效果。方法 采用意大利赫美公司的赫美T4补片修补138例腹股沟疝，腹股沟斜疝109例，直疝18例；双侧腹股沟疝11例，其中复发疝21例，原发性疝117例。结果 138例中，1例睾丸缺血坏死，无切口下血肿，患者无明显异物、疼痛、肿胀感，无切口感染，随访6个月～3年，无复发。结论 赫美T4补片进行无张力疝修补，复发率极低，异物感轻，无局部肿胀、疼痛，无皮下血肿。

    [关键词] 腹股沟疝；无张力疝修补；赫美T4补片

    Clinical application of tension-free herniaplasty of old man by Herniamesh T4

    ZHU Hao-jie.Department of General Surgery，Luwan Branch of Ruijin Hospital，Shanghai 200020，China

    [Abstract] Objective To evaluate the clinical effect of tension-free inguinal hernia repair of old patient when using Herniamesh T4 type mesh.Methods 138 inguinal hernia cases received tension-free hernia repair operation using Herniamesh T4 type mesh and effect had been observed during next 6 months～3 years ......