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目的：对比观察 Lichtenstein 无张力疝修补术及腹膜外疝修补术治疗成人腹股沟疝的临床效果。方法抽取医院于2015年内收治的成年腹股沟疝患者108例，将其随机分为 A 组和 B 组各54例。A 组患者进行腹膜外疝修补术治疗，而 B 组患者进行 Lichtenstein 无张力疝修补术治疗。比较2组患者手术时间、手术出血量、住院时长、术后首次下床活动时间、复发情况以及并发症发生情况。结果2组患者手术时间、手术出血量、住院时长、术后首次下床活动时间、复发情况等方面差异无统计学意义（P ﹥0.05）。经术后随访观察发现，A 组患者并发症发生率为5.56%低于 B 组的20.37%，差异有统计学意义（P ﹤0.05）。结论 Lichtenstein 无张力疝修补术与腹膜外疝修补术均可作为治疗成人腹股沟疝的有效途径，且两种方法各有所长，可结合患者病情，选择适当的术式进行治疗。“,”Objective To compare the clinical effect between Lichtenstein tension free herniorrhaphy and extraperito-neal hernia repair surgery in the treatment of adult inguinal hernia. Methods 108 cases of adult inguinal hernia were selected from our hospital in 2015 were divided into group A and group B with 54 cases in each group. In group A,patients with extrap-eritoneal hernia repair in the treatment,and patients in group B were treated with Lichtenstein tension-free hernia repair surger-y. After treatment,the clinical curative effects of two groups were given comparative analysis. Results There was no significant difference in the operation time,bleeding volume,length of stay,the time of the first bed movement,and the recurrence between the two groups(P ﹥ 0. 05). After surgery,the incidence of complications of group A(5. 56% )was lower than that of group B (20. 37% ),the difference was statistically significant(P ﹤ 0. 05). Conclusion Lichtenstein tension-free hernia repair and peritoneal external hernia repair surgery can be as an effective way for the treatment of adult inguinal hernia and two methods have their own strengths,which can combine with the patient’s condition to select the appropriate surgical treatment.