探讨不同类型补片在无张力疝修补术中的应用效果及其对老年腹股沟疝短期疗效及预后情况的影响。

回顾性分析2014年5月至2015年5月100例老年腹股沟患者的临床资料，分为重质量平片组（50例）和轻质量平片组（50例），均行无张力疝修补术；术后6个月对患者进行跟踪随访，分析比较两组患者临床治疗效果、置入时间、下床活动时间、VAS评分以及术后不良反应。

轻质量型补片组总治疗有效率（94.0%）与重质量型补片组总治疗有效率（90.0%）差异无统计学意义（χ²=0.136，P=0.712）。两组患者补片置入时间组间差异无统计学意义；但轻质量平片组的下床活动时间以及VAS评分明显低于重质量型补片组，差异具有统计学意义（t=9.561、11.214，均P<0.01）。术后6个月随访，轻质量平片组患者异物不适感、慢性疼痛的发生率明显低于重质量平片组，差异具有统计学意义（χ²=9.000、3.895，P=0.003、0.048）。

采用轻质量型补片行平片无张力疝修补治疗腹股沟疝效果优于重质量型补片行平片无张力疝修补术，能够有效降低术后异物不适感，缓解术后慢性疼痛，安全性更高，临床上值得继续推广。

To compare the different types of patch in tension free hernia repair and its application in short-term curative effect and prognosis of elderly inguinal hernia.

The clinical data of elderly patients with inguinal hernia admitted to our hospital from May 2014 to May 2015 were retrospective analyzed. They were divided into heavy quality flat piece of plain group (50 cases) and light quality group (50 cases). Postoperative follow-up lasted for 6 months, and the groups were compared with clinical therapeutic effects, placement time, ambulation time, VAS score and postoperative adverse reactions.

There was no statistically significant difference in the total treatment efficiency between light latter patch group and heavy latter patch group (94.0% vs 90.0%, χ²=0.136, P=0.712). Difference between the two groups in the patch placement time was no statistically significant; but for the light quality flat piece group, ambulation time and VAS score was significantly lower than the other group, with statistically significance differences (t=9.561, 11.214, both P<0.01). After 6 months of follow-up, foreign body discomfort and incidence of chronic pain of light quality plain film group patients were statistically significant lower than that in the heavy group ( χ²=9.000, 3.895, P=0.003, 0.048).

Light quality patches are better than heavy latter patch flat pieces in the tension-free hernioplastry, effectively reduce postoperative foreign body discomfort, and alleviate postoperative chronic pains with high safety.