Lichtenstein无张力疝修补术治疗腹股沟疝4011例

Lichtenstein tension-free herniorrhaphy： a retrospective analysis in 4011 cases

目的评估Lichtenstein无张力疝修补术治疗腹股沟疝的结果并总结临床经验。方法回顾性分析3631例腹股沟疝患者的4011例（其中双侧疝380例）Lichtenstein无张力疝修补术的临床资料。结果经Lichtenstein手术治疗的3631例腹股沟疝患者平均住院3．8d，术后并发症发病率为2．4％，复发率为0．1％。结论在局麻下对腹股沟疝患者施行Lichtenstein手术具有术后恢复快、复发率和并发症发病率低的特点。

Objective To evaluate results of the Lichtenstein tension-free mesh repair and summaraize the clinical experience in the treatment of the inguinal hernia. Methods In this retrospective study, 4011 tension-free inguinal hernia repairs were performed in 3631 patients, using a polypropylene mesh （Lichtenstein technique）. Results The average hospitalization was 3.8 days, the overall complication rate was 2. 4%, the recurrence rate was 0. 1%. Conclusion The Lichtenstein repair for the treatment of inguinal hernia has the advantage of less postoperative pain and low recurrence and is highly suitable for day case surgery.