探讨肝硬化腹水合并腹股沟疝患者手术的风险及并发症。

回顾性分析2014年1月至2019年1月，泰州中西医结合医院收治的28例合并肝硬化腹水患者的临床资料，患者均采用手术治疗，手术方式分别为Lichtenstein方法和网塞平片方法。术后观察急性疼痛、慢性疼痛、感染（浅部感染与深部感染）、血肿、血清肿、切口愈合、复发等情况，术后随访1～5年。

所有患者顺利手术，随访期间无复发。无感染并发症，无慢性疼痛，3例患者发生切口血肿，保守治疗治愈。

腹股沟疝伴腹水不是腹股沟疝手术的禁忌证，在完善术前准备的情况下，可以进行无张力疝修补术。

To investigate the risk and complications of inguinal hernia repair in patients with liver cirrhosis and ascites.

From January 2014 to January 2019, 28 patients with liver cirrhosis and ascites in Taizhou integrated traditional Chinese and Western medicine hospital were enrolled. All patients were treated by operation, including Lichtenstein repair and mesh-plug repair. Postoperative acute pain, chronic pain, infection (superficial infection and deep infection), hematoma, seroma, incision healing, and recurrence, etc., were observed. The patients were followed up for 1 to 5 years.

All patients were operated successfully and no recurrence occurred during the follow-up period. There were no complications of infection and chronic pain. Three patients developed incision hematoma and were successfully treated by conservative treatment.

Inguinal hernia with ascites is not a contraindication of inguinal hernia surgery, and tension-free hernioplasty can be performed under the condition of perfect preoperative preparation.