探讨Lichtenstein术治疗腹股沟疝的疗效。

回顾性分析2010年1月至2015年12月，南安市医院722例行Lichtenstein手术的腹股沟疝患者资料，对其手术记录、术后疝复发、慢性疼痛、阴囊血肿或血清肿、术区感染等并发症进行查看、记录、总结分析。

722例患者中双侧腹股沟疝44例，共行Lichtenstein手术766例，术后疝复发15例、慢性疼痛2例、阴囊血肿或血清肿19例、术区感染3例；其中疝复发以内环大和腹横筋膜不完整为主，占13例。

Lichtenstein术治疗腹股沟疝手术风险小，术后整体并发症少，但对内环大和腹横筋膜不完整的腹股沟疝患者术后存在较高的复发率，临床上可根据术前的判断或术中具体的情况，如疝环大小和腹横筋膜完整性的情况来进一步确定修补方式，采取个体化治疗方案，以减少术后复发的风险。

To explore the efficacy of Lichtenstein repair in the treatment of inguinal hernia.

722 cases of patients with inguinal hernia underwent Lichtenstein repair Nan'an hospital from January 2010 to December 2015 were retrospectively analyzed. The surgical records, postoperative hernia recurrence, chronic pain and scrotal hematoma were reviewed and recorded.

There were 15 cases of hernia recurrence, 2 cases of chronic pain, 19 cases of scrotal hematoma or seroma, and 3 cases of surgical site infection. Of these, hernia recurrence was mainly due to the large ring and incomplete transverse fascia, accounting for 13 cases.

Lichtenstein repair has a low risk in the treatment of inguinal hernia, and less postoperative complications. However, there is a high recurrence rate for the patients who have large inner ring and incomplete abdominal transverse fascia. In clinic, it can use individual treatment based on preoperative judgment or specific circumstances, such as the size of the hernia ring and abdominal fascia integrity to further determine the surgical method, to reduce the risk of recurrence after surgery.