[摘要] 目的：探讨腹股沟疝的原因，总结无张力疝修补术的临床效果、手术方式及注意事项，以降低术后复发率。方法：对215例行无张力疝修补术的腹股沟疝患者的临床资料进行分析。结果：所有患者手术顺利，无切口感染及死亡；术后出现阴囊积液4例，经对症治疗(穿刺抽液、热敷等)痊愈；尿潴留10例(均伴有前列腺疾病)，导尿及治疗前列腺疾病后恢复；术后随访6个月~2年无复发。结论：无张力疝修补术在操作仔细、解剖清晰的情况下，临床效果满意，推广价值高。

    [关键词] 腹股沟疝；无张力疝修补术；补片；外科手术

    [中图分类号] R656.2+1 [文献标识码]A[文章编号]1674-4721(2011)02(b)-030-02

    Treatment experience of tension-free inguinal hernioplasty in 215 cases

    SHANG Yi，SUN Chengyu

    (The Second Department of General Surgey, the First People's Hospital of Shenyang City, Liaoning Province, Shenyang 110041,China)

    [Abstract] Objective: To explore the reason of inguinal hernia, from summarying the clinical effect, surgical methods, notes,we can learn how to reduce the recurrence. Methods: Analyzed the clinical datas of tension-free hernioplasty for inguinal hernia in 215 cases. Results: All cases operated successfully, nobody wound infect or dead; Scrotal hydrocele in 4 cases after operation were healed by symptomatic treatment (puncture pumping fluid, hot compress); and urinary retention in 10 cases (all had prostate disease) after operation were rescured by catheterization and therapy of prostate disease; Followed-up in 6 to 24 months, no recurrence was found. Conclusion: Tension-free hernioplasty has perfect clinical effect and is worthy to popularize under the condition of operating carefully and dissecting clearly. ......