探讨Lichtenstein手术治疗腹膜透析患者腹股沟疝患者的临床效果和经验。

回顾性分析2014年6月至2018年6月浙江大学医学院附属杭州市第一人民医院集团收治并接受腹膜透析的患者腹股沟疝42例。其中男性27例（64.3%），女性15例（35.7%）。

42例腹膜透析腹股沟患者中，平均年龄66.7±13.2岁，身体质量指数（19.73±3.34）kg/m²。平均腹透年数（2.27±1.65）年。42例患者均采用Lichtenstein手术行无张力修补，疝囊行完全剥离或高位结扎处理，单股不可吸收线固定补片。平均手术时间（47.6±13.2）min。术后12～24 h恢复半量或全量腹透。平均住院时间（5.2±2.1）d。有1例浅表切口感染和1例腹透管相关感染。无严重血清肿、肠梗阻、腹腔感染及补片感染等并发症。平均随访时间为（25.6±12.1）个月，随访期内未发现慢性疼痛和复发病例。

Lichtenstein手术治疗腹膜透析患者腹股沟疝具有手术操作简洁，风险小，恢复快，并发症发生率低，不影响腹透治疗的持续性，是腹膜透析腹股疝患者的较理想的手术方式之一。

To investigate the clinical experiences and outcomes of Lichtenstein approach in inguinal hernia repair of peritoneal dialysis patients.

Retrospectively studied fourteen cases of peritoneal dialysis patients with inguinal hernias admitted to affiliated Hangzhou first people's hospital of Zhejiang university school of medicine from June 2014 to June 2018 Among the 42 cases of patients, there were 27 males (64.3%) and 15 females (35.7%). Clinical materials were collected and analyzed.

Mean age was (66.7±13.2) years, BMI were (19.73±3.34) kg/m². Mean length of peritoneal dialysis was (2.27±1.65) years. All patients underwent Lichtenstein repair. The hernia sac was completely dissected or highly ligated, and the mesh was fixed with monofilament non-absorbable suture. The average operation time was (47.6±13.2) minutes. Half or full peritoneal dialysis was resumed 12 to 24 hours postoperatively. The average length of hospital stay was (5.2±2.1) days. One case had superficial incision infection and one case had peritoneal dialysis related infection. There were no severe complications such as seroma, intestinal obstruction, abdominal infection, and mesh infection. The mean follow-up time were (25.6±12.1) months. No chronic pain or recurrence cases were recorded during the follow-up period.

Lichtenstein repair for inguinal hernia in peritoneal dialysis patients has the advantages of simple to operate, quick recovery, low incidence of complications, and does not affect the persistence of peritoneal dialysis. It is an ideal operation for peritoneal dialysis patients with inguinal hernia.