总结基层医院开展疝环填充式腹股沟疝日间手术的临床疗效，分析其可行性。

采用回顾性横断面研究方法，收集2008年1月至2020年1月北京市朝阳区双桥医院普外科收治的243例接受疝环填充式腹股沟疝无张力修补术患者的围手术期及随访资料，分析手术情况、术后恢复自主活动情况、术后复发及各种并发症发生情况，包括阴囊血肿、尿潴留、局部异物感、慢性疼痛及伤口/补片感染，分析临床疗效并总结经验。

243例患者顺利行疝环填充式无张力修补术，手术时间30~80 min，平均（38±16）min；出血量1~10 ml，平均（5±2）ml；术后恢复自主活动时间2~15 h，平均（4±3）h；住院时间1~2 d，其中178例患者入院48 h内出院，其余患者入院24 h内出院；术后随访12个月，复发2例（0.8%），阴囊血肿2例（0.8%），尿潴留11例（4.5%），局部异物感12例（4.9%），慢性疼痛6例（2.5%），切口感染4例（1.6%），补片感染1例（0.4%）。

疝环填充式腹股沟疝日间手术疗效可靠、并发症发生率低，适合基层医院开展。

To evaluate the clinical outcomes and feasibility of inguinal hernia ring filling day surgery in primary hospital.

The clinical data and follow-up data of 243 patients admitted to Department of General Surgery of Beijing Shuangqiao hospital in Chaoyang District who underwent ring filling inguinal hernia repair from January 2008 to January 2020 were collected and analyzed retrospectively. We analyzed the operation situation, postoperative recovery of spontaneous activity, postoperative recurrence and other complications, including scrotal hematoma, urinary retention, local foreign body sensation, chronic pain and wound/mesh infection, to evaluate the clinical efficacy and summarize the experience.

All the 243 patients underwent tension-free ring filling hernia repair successfully. The operation time was 30to 80 minutes, with an average of (38±16) minutes. Blood loss ranged from 1 to 10 ml, with an average of (5±2) ml. The recovery time of spontaneous activity after operation was 2~15 hours, with an average of (4±3) hours. The length of hospital stay was 1 to 2 days. 178 patients were discharged within 48 hours after admission and the rest were discharged within 24 hours after admission. After 12 months of follow-up, 2 patients (0.8%) had hernia recurrence, 2 patients (0.8%) had scrotal hematoma, 11 patients (4.5%) had urinary retention, 12 patients (4.9%) had local foreign body sensation, 6 patients (2.5%) had chronic pain, 4 patients (1.6%) had incision infection, and 1 patient (0.4%) had mesh infection.

Ring filling day surgery for inguinal hernia has reliable curative effect and low complication rate, which is suitable for primary hospitals.