改良李金斯坦无张力疝修补术应用于腹股沟疝的临床治疗

Modified lichtenstein technique for the adult inguinal hernia

目的 探讨改良李金斯坦（Lichtenstein）疝修补术用于成人腹股沟疝的临床效果.方法 回顾性分析广州医科大学附属第五医院2010年3月至2013年4月收治的130例改良Lichtenstein无张力疝修补术患者的临床资料.结果 全组患者均获治愈,手术时间35～110 min,平均（43±13） min,住院时间2～15 d,平均（4.5±2.4）d,围手术期无严重并发症发生.随访3～36个月,平均（25±9）个月,无一例复发.结论 改良Lichtenstein疝修补术具有安全、可靠、操作简单的特点。

Objective To evaluate the clinical effect of modified lichtenstein technique for the adult patients with inguinal hernias. Methods The clinical data of 130 patients were retrospectively analyzed. All the patients were admitted in The Fifth Affiliated Hospital of Guangzhou Medical University from March 2010 to April 2013 and were applied with modified fichtenstein tension-free hernioplasty. Results All patients were cured successfully. The mean of operative time was 35 to 110 minutes, with a mean of （43 ± 13） minutes. The hospitalization stay was 2 to 15 days, with a mean of （4.5 ±2.4） days. No case was reported as serious complications during the perioperative period and the mean of follow-up was 3 to 36 months, with a mean of （25 ± 9） months. Conclusions The modified lichtenstein technique is safe, reliable, simple and is in line with the modern concept of myopeetineal orifice for the inguinal hernia repair.