探讨腹腔镜下腹腔内补片植入修补法治疗获得性腰疝的临床疗效，为获得性腰疝的治疗提供相对合理的方案。

2015年1月至2018年6月，首都医科大学附属北京中医医院共对47例获得性腰疝的患者采用腹腔镜下腹腔内补片植入修补法进行治疗，记录患者手术前后的临床参数，观察并分析术后并发症及复发情况。

47例患者均经腹腔镜顺利完成手术，手术时间100～180 min，平均134 min；术中出血量80～140 ml，平均110 ml；术后住院时间5～14 d，平均7 d。术后出现浆液肿2例，经穿刺抽液后给予腹带包扎处理后治愈；腹胀4例，均于5 d内自行缓解；肠梗阻1例，于术后第13天治愈；术区疼痛不适10例，给予止痛药治疗后缓解；戳孔感染2例，给予积极换药处理后治愈；患者术后均未出现肠瘘、腹腔感染、戳孔血肿、戳孔疝、慢性疼痛等严重并发症。随访时间6～48个月，均未出现疝复发。

获得性腰疝修补采用腹腔镜下腹腔内补片植入修补法进行治疗，目前是一种有效且安全、可行的治疗方法，可促进患者快速康复，降低相关并发症的发生及疝的复发，值得临床进一步推广。

To explore the clinical effect of laparoscopic intraperitoneal onlay mesh for the treatment of acquired lumbar hernia, and to provide a relatively reasonable scheme for the treatment of acquired lumbar hernia.

47 patients with acquired lumbar hernia were treated by laparoscopic intraperitoneal onlay mesh in Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University From January 2015 to June 2018. The clinical parameters before and after operation were recorded, and the complications and recurrence were observed and analyzed.

All 47 patients underwent laparoscopic surgery were successfully. The operation time ranged from 100 to 180 minutes, with an average of 134 minutes. Intraoperative bleeding volume ranged from 80 to 140 ml, with an average of 110 ml. Postoperative hospital stay ranged from 5 to 14 days, with an average of 7 days. Two cases occurred seroma after operation, which were cured by abdominal bandage after puncture and drainage; 4 cases of abdominal distension were alleviated within 5 days; 1 case of intestinal obstruction was cured within 13 days after operation; 10 cases of pain and discomfort in operation area were alleviated after painkillers treatment; 2 cases of puncture infection were cured after positive dressing change. No intestinal fistula, abdominal infection, trocar hematoma, trocar hernia and chronic pain occurred after operation. The follow-up period ranged from 6 to 48 months. No recurrence of hernia occurred.

Acquired lumbar hernia repair by laparoscopic intraperitoneal onlay mesh is an effective, safe and feasible treatment method, which can promote the rapid recovery of patients, reduce the incidence of complications and hernia recurrence. It is worthy of further clinical promotion.